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NPI Code Detail

MEDICARE: CHASHMAL INSTITUTE NORTH JERSEY NEUROFEEDBACK, PC

MEDICARE: CHASHMAL INSTITUTE NORTH JERSEY NEUROFEEDBACK, PC
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
12084P0800XPsychiatry Physician25MA06216100NJ

General Provider Information

NPI Number : 1740328814
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHASHMAL INSTITUTE NORTH JERSEY NEUROFEEDBACK, PC
Provider Business Mailing Address
First Line : 50 MOUNT PROSPECT AVE
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1900
Country : US
Telephone Number : 973-471-4400
Fax Number : 973-471-9229
Provider Business Practice Location Address
First Line : 50 MOUNT PROSPECT AVE
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1900
Country : US
Telephone Number : 973-471-4400
Fax Number : 973-471-9229
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. CURT P PINCHUCK
Credential : MD
Telephone Number : 973-471-4400
Provider Enumeration Date : 02/02/2007
Last Update Date : 08/22/2020

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