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NPI Code Detail

MEDICARE: EVAN M. CHAIT, PT, PA

MEDICARE: EVAN M. CHAIT, PT, PA
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1942438627
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVAN M. CHAIT, PT, PA
Provider Business Mailing Address
First Line : 171 LAKE ST
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2089
Country : US
Telephone Number : 201-327-1990
Fax Number : 201-327-1921
Provider Business Practice Location Address
First Line : 171 LAKE ST
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2089
Country : US
Telephone Number : 201-327-1990
Fax Number : 201-327-1921
Authorized Official
Title or Position : PRESIDENT
Name : MR. EVAN M CHAIT
Credential : PT
Telephone Number : 201-327-1990
Provider Enumeration Date : 07/01/2009
Last Update Date : 07/01/2009

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