Chantal Brazeau, MD
Family Medicine in Newark, New Jersey
1780796193- Practice location
- 90 Bergen St, Lower Level Suite 300, Newark, NJ 07103-2425
- Phone
- 973-972-2111
- Fax
- 973-972-2754
- Last updated
- February 2, 2022
Chantal Brazeau is a Family Medicine based in Newark, NJ. Chantal Brazeau practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Chantal Brazeau is 1780796193 and holds a License No. 25MA04667000 (NJ). The current practice location address for Chantal Brazeau is 90 Bergen St, Lower Level Suite 300, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-2111 and via fax at 973-972-2754.
Provider Profile Details
- NPI Number
- 1780796193
- Provider Name
- Chantal Brazeau
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 90 Bergen St, Lower Level Suite 300, Newark, NJ 07103-2425
- Phone Number
- 973-972-2111
- Fax Number
- 973-972-2754
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- February 2, 2022
- Certification Date
- February 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Bergen St
Lower Level Suite 300
Newark, NJ 07103-2425 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2425
- Phone Number
- 973-972-2111
- Fax Number
- 973-972-2754
Provider Business Mailing Address Details
- Address
- 30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000 - City
- Newark
- State
- NJ
- Zip
- 07107-3000
License Information
- License Number (1)
- 25MA04667000
- License State (1)
- NJ
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 25MA04667000
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Chantal Brazeau, MD?
The NPI number of Chantal Brazeau, MD is 1780796193. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Chantal Brazeau, MD?
Chantal Brazeau, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA04667000.
Where does Chantal Brazeau, MD practice?
The practice location is 90 Bergen St, Lower Level Suite 300, Newark, NJ 07103-2425. The office can be reached at 973-972-2111 (phone) or 973-972-2754 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780796193 directly on the NPPES registry website.