MEDICARE: PIUS CHIKEZIE M.D.

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
1	207R00000X	Internal Medicine Physician	MA62398	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MA62398	OTHER	NJ	LICENSE NUMBER

General Provider Information

NPI Number	:	1609807379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIUS CHIKEZIE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 356
Second Line	:
City	:	PERRINEVILLE
State	:	NJ
Zip	:	08535-0356
Country	:	US
Telephone Number	:	732-321-1100
Fax Number	:	732-321-1150

Provider Business Practice Location Address
First Line	:	6 LAHAWAY CREEK CT
Second Line	:
City	:	MILLSTONE TOWNSHIP
State	:	NJ
Zip	:	08510
Country	:	US
Telephone Number	:	908-770-8025
Fax Number	:	732-321-1150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	01/13/2009

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Directions to “ PIUS CHIKEZIE M.D.” Practice Location

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