Individual
CECILIA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 ANDERSON AVE, FORT LEE, NJ 07024-4225
(201) 321-6292
Mailing address
40 E RUBY AVE, PALISADES PARK, NJ 07650-1433
(201) 321-6292
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00905000
NJ
Other
Enumeration date
02/27/2019
Last updated
06/20/2019
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