| Scott S. Chae M.d. G.i. Clinic, Llc | |
|
2 State Route 27 Ste 107 Edison NJ 08820-3976 | |
| (732) 632-9777 | |
| (732) 632-8096 |
| Full Name | Scott S. Chae M.d. G.i. Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 State Route 27 Ste 107, Edison, New Jersey |
| Authorized Official Name and Position | Scott S Chae (PROVIDER) |
| Authorized Official Contact | 7326329777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott S. Chae M.d. G.i. Clinic, Llc 2 State Route 27 Ste 107 Edison NJ 08820-3976 Ph: (732) 632-9777 | Scott S. Chae M.d. G.i. Clinic, Llc 2 State Route 27 Ste 107 Edison NJ 08820-3976 Ph: (732) 632-9777 |
| NPI Number | 1225387905 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 07/20/2013 |
| Medicare PECOS PAC ID | 3870747215 |
|---|---|
| Medicare Enrollment ID | O20130212000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225387905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA05655900 (New Jersey) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA05655900 (New Jersey) | Primary |
| Provider Name | Scott S Chae |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851409650 PECOS PAC ID: 6204871007 Enrollment ID: I20050622000827 |
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