Provider Demographics
NPI:1104031020
Name:CHIARA, BIANCA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:BIANCA
Middle Name:ANN
Last Name:CHIARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:133 MADISON ST
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-7831
Mailing Address - Country:US
Mailing Address - Phone:210-420-6445
Mailing Address - Fax:201-683-3223
Practice Address - Street 1:133 MADISON ST
Practice Address - Street 2:FLOOR 1
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-7831
Practice Address - Country:US
Practice Address - Phone:201-420-6445
Practice Address - Fax:201-683-3223
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08245800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine