Provider Demographics
NPI:1891777942
Name:CHAREN, JEFFREY H (MD)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:H
Last Name:CHAREN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:205 MAY ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3267
Mailing Address - Country:US
Mailing Address - Phone:908-757-1520
Mailing Address - Fax:908-769-1388
Practice Address - Street 1:205 MAY ST
Practice Address - Street 2:SUITE 202
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3267
Practice Address - Country:US
Practice Address - Phone:908-757-1520
Practice Address - Fax:908-769-1388
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04627400207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4858808Medicaid
NJCH439386Medicare ID - Type Unspecified
NJ4858808Medicaid