Basic Information
| Provider Information | |||||||||
| NPI: | 1568556231 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHATARGY S. KAZA, MD, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 BRASS CASTLE ROAD | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07882 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9088351910 | ||||||||
| FaxNumber: | 9088351886 | ||||||||
| Practice Location | |||||||||
| Address1: | 2571 BAGLYOS CIR | ||||||||
| Address2: | SUITE B-29 | ||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180208045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102522222 | ||||||||
| FaxNumber: | 6102520223 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 07/24/2012 | ||||||||
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| AuthorizedOfficialLastName: | KAZA | ||||||||
| AuthorizedOfficialFirstName: | CHATARGY | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6102522222 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.