Provider Demographics
NPI:1972087948
Name:JUMANA CHALABI MD PC
Entity Type:Organization
Organization Name:JUMANA CHALABI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUMANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-732-1859
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-0275
Mailing Address - Country:US
Mailing Address - Phone:908-732-1859
Mailing Address - Fax:
Practice Address - Street 1:2644 FARVIEW DR
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-1326
Practice Address - Country:US
Practice Address - Phone:908-732-1859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty