Doctor Name: | OPHELIA RACHELL CHILES |
NPI Number: | 1114229598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 784299 |
Business Practice Address: | 111 S Orange Ave Ste 28 South Orange, NJ - 070791931 |
Business Phone Number: | 7327717301 |
Business Fax Number: | |
Mailing Address: | 90 Northfield Ave Apt 24d, WEST ORANGE |
State: | NJ |
Postal Code: | 070525328 |
Phone Number: | 7327717301 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2010 |
NPI Last Update Date: | 11/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 784299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |