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Contact Information

MARK D CHASE, MD
311 BAY AVE STE 203
GLEN RIDGE, NJ07028-1607
 Phone: 973-746-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK D CHASE · (Male)

NPI # 1699849711
Status Active
Credentials MD
Entity Individual
Enumeration date 11/20/2006
Last updated 04/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA52391
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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