Individual
JASON CHOUAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
663 PALISADE AVE STE 201, CLIFFSIDE PARK, NJ 07010-3012
(201) 298-3650
(201) 917-2274
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5640
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA09997700
NJ
207R00000X
Internal Medicine Physician
AA5343695
NY
Other
Enumeration date
07/02/2013
Last updated
05/11/2022
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