Chinn, Bertram T

Chinn, Bertram T is an individual health care provider with primary practice located at 3900 Park Ave Suite 101, Edison NJ 08820-3032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Chinn, Bertram T can be contacted via phone (732) 494-6640.

Contact Information

Primary practice address
3900 Park Ave Suite 101 Edison NJ 08820-3032
Fax: (732) 549-8204
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 25MA05818800 New Jersey

Profile Details

NPI number 1811968944
LBN Legal business name Chinn, Bertram T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 10th, 2016 - about 8 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 1811968944 NPPES
New Jersey MEDICAID 6065503

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