Brazeau, Chantal

Brazeau, Chantal is an individual health care provider with primary practice located at 90 Bergen St Lower Level Suite 300, Newark NJ 07103-2425. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Brazeau, Chantal can be contacted via phone (973) 972-2111.

Contact Information

Primary practice address
90 Bergen St Lower Level Suite 300 Newark NJ 07103-2425
Phone: (973) 972-2111
Fax: (973) 972-2754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA04667000 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA04667000 New Jersey

Profile Details

NPI number 1780796193
LBN Legal business name Brazeau, Chantal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780796193 NPPES
New Jersey MEDICAID 1582305

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