Davis Chacko
Davis Chacko is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
150 Bergen StNewark, NJ 07103-2496
Phone: (973) 972-4300
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1861079162 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 24, 2021 |
| Last updated in NPPES | March 24, 2021 |
| Certification date | March 24, 2021 |
| Mailing address | 12525 Kenny Dr, Granada Hills, CA 91344-1838 |
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