Healthcare Provider Details

I. General information

NPI: 1083927990
Provider Name (Legal Business Name): ANTOINE C. CHAKER, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HOSPITAL DR SUITE 18
TOMS RIVER NJ
08755-6434
US

IV. Provider business mailing address

20 HOSPITAL DR SUITE 18
TOMS RIVER NJ
08755-6434
US

V. Phone/Fax

Practice location:
  • Phone: 732-341-7400
  • Fax: 732-341-7904
Mailing address:
  • Phone: 732-341-7400
  • Fax: 732-341-7904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTOINE C. CHAKER
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 732-341-7400