Individual
MRS. SELANDE GESSE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 SWEETLAND AVE, HILLSIDE, NJ 07205-1731
(973) 715-0066
Mailing address
530 SWEETLAND AVE, HILLSIDE, NJ 07205-1731
(973) 715-0066
(908) 686-1595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01008200
NJ
Other
Enumeration date
01/21/2020
Last updated
03/17/2021
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