Chae, Kyu C

Chae, Kyu C is an individual health care provider with primary practice located at 123 S Munn Ave , E Orange NJ 07018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chae, Kyu C can be contacted via phone (973) 674-8168.

Contact Information

Primary practice address
123 S Munn Ave E Orange NJ 07018
Phone: (973) 674-8168
Fax: (973) 674-2520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 29521 New Jersey

Profile Details

NPI number 1205866845
LBN Legal business name Chae, Kyu C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1205866845 NPPES
New Jersey MEDICAID 2095009

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