Chavez-Cacho, Jose M

Chavez-Cacho, Jose M is an individual health care provider with primary practice located at 61 Passaic Avenue , Passaic NJ 07055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Chavez-Cacho, Jose M can be contacted via phone (973) 473-5053.

Contact Information

Primary practice address
61 Passaic Avenue Passaic NJ 07055
Phone: (973) 473-5053
Fax: (973) 574-9430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 25MA058212 New Jersey
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 25MA058212 New Jersey

Profile Details

NPI number 1497854236
LBN Legal business name Chavez-Cacho, Jose M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 27th, 2008 - about 16 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 1497854236 NPPES
New Jersey MEDICAID 5337101

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