Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 25MA09892500 | NJ |
NPI | 1003201849 |
---|---|
Provider Name | Dr. Andrew Chiromeras |
First Address | Hamilton, NJ 08619-3834 |
Second Address | Hamilton, NJ 08619-3834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 26/04/2021 |