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1083684419
JOSE R CHAN
NEWARK, NJ
NPI
1083684419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NJ 25MA03608300)
Enumeration Date
2006-01-26
Last Update Date
2007-07-09
Business Address
-- JOSE R CHAN md
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 201-943-0034
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Mailing Address
-- JOSE R CHAN md
PO BOX 724
MILLBURN, NJ 07041-0724
Phone number: 201-943-0034
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