| NPI | 1114912177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN STEVEN CHACK Physician/Surgeon 267-689-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2012-11-13 |