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1619111861
TOM CHACKO JOSEPH
BRONX, NY
NPI
1619111861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 013259)
Enumeration Date
2009-04-30
Last Update Date
2022-07-21
Business Address
Mr. TOM CHACKO JOSEPH PA
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-5000
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Mailing Address
Mr. TOM CHACKO JOSEPH PA
LINCOLN MEDICAL CENTER 234 EAST 149 STRETT
BRONX, NY 10451
Phone number: 718-579-5000
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