Basic Information
Provider Information
NPI: 1679650493
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEFITZ
FirstName: DALYA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 125 PATERSON ST
Address2: MEB ROOM 348
City: NEW BRUNSWICK
State: NJ
PostalCode: 089011962
CountryCode: US
TelephoneNumber: 7322357044
FaxNumber:  
Practice Location
Address1: 1 ROBERT WOOD JOHNSON PL
Address2:  
City: NEW BRUNSWICK
State: NJ
PostalCode: 089011928
CountryCode: US
TelephoneNumber: 7328283000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/01/2006
LastUpdateDate: 03/16/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X25MA05789800NJY Allopathic & Osteopathic PhysiciansHospitalist 
208000000X25MA05789800NJN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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