Provider Demographics
NPI:1649613944
Name:CHAVKIN, JAIME K
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:K
Last Name:CHAVKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 LONG HILL RD APT 5-10
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2036
Mailing Address - Country:US
Mailing Address - Phone:973-650-1010
Mailing Address - Fax:
Practice Address - Street 1:181 LONG HILL RD APT 5-10
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-2036
Practice Address - Country:US
Practice Address - Phone:973-650-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist