Individual
JOSELINE CHUMMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
617 BROAD ST, NEWARK, NJ 07102-4403
(862) 246-7940
(862) 246-7941
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10020900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
25MA10020900
NJ
Other
Enumeration date
04/23/2014
Last updated
07/24/2019
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