Individual
MRS. CHETNA TAILOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 SUNSET RD # 101, BURLINGTON, NJ 08016-3645
(609) 387-9242
(609) 387-9408
Mailing address
400 LAUREL OAK RD STE 105, VOORHEES, NJ 08043-4455
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00682800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0547590
—
NJ
Enumeration date
11/08/2016
Last updated
01/05/2021
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