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Davis Chacko
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1861079162

Davis Chacko is a Student in an Organized Health Care Education/Training Program based in Granada Hills, NJ. Davis Chacko practices in Newark, NJ. The NPI Number for Davis Chacko is 1861079162 and holds a License No. (New Jersey).

The current practice location address for Davis Chacko is 150 Bergen St, Newark, NJ and can be reached out via phone at 973-972-4300.

Location: 150 Bergen St, Newark, NJ, 91344-1838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861079162
Provider Name
Davis Chacko
Credential
Provider Entity Type
Individual
Gender
Male
Address
150 Bergen St, Newark, NJ, 91344-1838
Phone Number
973-972-4300
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Bergen St
City
Newark
State
New Jersey
Zip
07103-2496
Phone Number
973-972-4300
Fax Number
person
Provider Business Mailing Address Details
Address
150 Bergen St
City
Newark
State
New Jersey
Zip
07103-2496
Phone Number
973-972-4300
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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