NPI 1306247200

Hung Y Chae Mdpa

Organisation Preferred Provider Organization Englewood Cliffs, NJ

Practice location

Address: 400 Sylvan Ave STE 103, Englewood Cliffs, NJ 07632-2717
Phone: (732) 607-9090
Fax: (732) 607-1160
Mailing address: PO Box 949, Fort Lee, NJ 07024-0949

Authorised official

Name: Hung Y Chae
Title: President
Phone: (732) 607-9090

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 25MA04523900 (NJ)

Other Preferred Provider Organization providers in New Jersey →

Registry record

NPI: 1306247200
Entity type: Organization
NPI issued: 10 Sep 2014
Record last updated: 10 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.