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Contact Information

JOHN C CHATLOS JR, MD
973 HOLMDEL RD
HOLMDEL, NJ07733-2124
 Phone: 732-834-0368
 Fax: 732-834-9891
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JOHN C CHATLOS JR · (Male)

NPI Number 1497752695
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2005
Last updated 04/18/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA 46262
  • NJ License # MA46262
  • NJ Medicaid 2508206
  • NJ Other 372324 MEDICARE PTAN
Hospital affiliation(s) Not Available
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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