Andres Chacon

NPI #1366074148 in Lyndhurst, New Jersey

Provider Information

NPI Number: 1366074148
Entity Type: Individual
Name: Andres Chacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 10, 2020
Last Updated: Feb 10, 2020

Practice Location

Address: 70 RIDGE RD
City: Lyndhurst
State: New Jersey
ZIP Code: 07071-1216
Phone: (201) 933-9959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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