Individual
CHAYA R WEISENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1352 RIVER AVE, LAKEWOOD, NJ 08701-5646
(732) 370-5100
Mailing address
207 1ST ST APT 407, LAKEWOOD, NJ 08701-3368
(248) 798-9092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00885300
NJ
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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