MYSTY CHACKO PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1669003745- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 400 W ROUTE 38, MOORESTOWN, NJ, 080573219
- Phone
- (856) 270-4000
Specialties & Taxonomies
Internal Medicine, Gastroenterology
License: PA #MA061392
Physician Assistant
Primary License: NJ #25MP00866300