Chouake, Benjamin

Chouake, Benjamin is an individual health care provider with primary practice located at 663 Palisade Avenue Suite 101, Cliffside Park NJ 07010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chouake, Benjamin can be contacted via phone (201) 917-2246.

Contact Information

Primary practice address
663 Palisade Avenue Suite 101 Cliffside Park NJ 07010
Phone: (201) 917-2246
Fax: (201) 917-2276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04032000 New Jersey

Profile Details

NPI number 1891804654
LBN Legal business name Chouake, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jun 30th, 2014 - about 10 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 1891804654 NPPES
New Jersey MEDICAID 0923605
New Jersey Other 27A041
New Jersey Other 505147

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