Individual
DR. CHANTAL MULAN LISIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
571 CENTRAL AVE STE 104A, NEW PROVIDENCE, NJ 07974
(908) 632-5172
(855) 822-3223
Mailing address
571 CENTRAL AVE STE 104A, NEW PROVIDENCE, NJ 07974-1547
(908) 632-5172
(855) 822-3223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08971700
NJ
282N00000X
General Acute Care Hospital
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Other
Enumeration date
07/12/2010
Last updated
05/19/2025
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