Itzkovich, Chad Jason

Itzkovich, Chad Jason is an individual health care provider with primary practice located at 2740 State Route 10 Suite 104, Morris Plains NJ 07950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Itzkovich, Chad Jason can be contacted via phone (973) 200-8224.

Contact Information

Primary practice address
2740 State Route 10 Suite 104 Morris Plains NJ 07950
Phone: (973) 200-8224
Fax: (973) 695-1324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA08040300 New Jersey

Profile Details

NPI number 1063478014
LBN Legal business name Itzkovich, Chad Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Aug 20th, 2018 - about 6 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 1063478014 NPPES
New Jersey MEDICAID 0102686

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