Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 25MA03168500 | NJ |
NPI | 1013941012 |
---|---|
Provider Name | William J Chernack |
First Address | Morristown, NJ 07960-5305 |
Second Address | Morristown, NJ 07960-5305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 17/06/2008 |