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Individual

DAVID CHESSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
72 ROUTE 27, EDISON, NJ 08820-3986
(732) 662-9901
(732) 662-9904
Mailing address
138 HOPMEADOW ST, WEATOGUE, CT 06089-9793
(860) 413-2073
(860) 413-2081

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09183
LA
225100000X
Physical Therapist
Primary
40QA01693100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174173
LA
Enumeration date
08/18/2015
Last updated
11/08/2018
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