Individual
VICTORIA C. CHANLIECCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HAMILTON HEALTH PL, HAMILTON, NJ 08690-3542
(609) 584-6763
(609) 584-6428
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
208685-1
NY
207P00000X
Emergency Medicine Physician
MA65878
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7964102
—
NJ
Enumeration date
07/01/2006
Last updated
02/26/2019
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