Healthcare Provider Details
I. General information
NPI: 1053589614
Provider Name (Legal Business Name): CHAMBERS EMERGENCY ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/18/2008
Last Update Date: 07/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 HAMILTON AVE
TRENTON NJ
08629-1915
US
IV. Provider business mailing address
66 W GILBERT ST
TINTON FALLS NJ
07701-4947
US
V. Phone/Fax
- Phone: 609-599-5000
- Fax:
- Phone: 732-212-0060
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
J
CALABRO
Title or Position: PRESIDENT
Credential: DO
Phone: 732-212-0060