Individual
MR. BENJAMIN CHOUAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
663 PALISADE AVENUE, SUITE 101, CLIFFSIDE PARK, NJ 07010
(201) 917-2246
(201) 917-2276
Mailing address
PO BOX 1546, ENGLEWOOD CLIFFS, NJ 07632-0546
(201) 917-2246
(201) 917-2276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04032000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0923605
—
NJ
01
—
27A041
EMPIRE NY
NJ
01
—
505147
US HEALTHCARE
NJ
Enumeration date
08/29/2006
Last updated
06/30/2014
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