Chasuk, Robert Mark

Chasuk, Robert Mark is an individual health care provider with primary practice located at 1180 Newfield Ave , Stamford CT 06905-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chasuk, Robert Mark can be contacted via phone (314) 888-5233.

Contact Information

Primary practice address
1180 Newfield Ave Stamford CT 06905-1409
Phone: (314) 888-5233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 07595 Louisiana

Profile Details

NPI number 1942202627
LBN Legal business name Chasuk, Robert Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 17th, 2023 - about 3 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 1942202627 NPPES
Louisiana MEDICAID 1369781
Louisiana Other 080070636

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