MYSTY CHACKO, PA-C
Physician Assistant
Active
Individual
NPI: 1669003745
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine - Gastroenterology | 207RG0100X | No | MA061392 (PA) |
| Physician Assistant | 363A00000X | Yes | 25MP00866300 (NJ) |
Frequently Asked Questions
NPI 1669003745 is the National Provider Identifier for MYSTY CHACKO, PA-C, a Physician Assistant provider located in Moorestown, NJ. This NPI was enumerated on January 28, 2020.
MYSTY CHACKO, PA-C practices at 400 W ROUTE 38, Moorestown, NJ 08057.
Quick Facts
- NPI
- 1669003745
- Type
- Individual
- Enumerated
- Jan 28, 2020
- Last Updated
- Aug 7, 2024
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