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NPI Code Detail

MEDICARE: JEFF CHAU

MEDICARE:   JEFF  CHAU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPR45437ME

General Provider Information

NPI Number : 1336519008
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF CHAU
Provider Business Mailing Address
First Line : 11 STATE RD
Second Line :
City : BATH
State : ME
Zip : 04530-6014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11 STATE RD
Second Line :
City : BATH
State : ME
Zip : 04530-6014
Country : US
Telephone Number : 207-443-1786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2015
Last Update Date : 10/06/2015

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Directions to “ JEFF CHAU ” Practice Location

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