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Individual

DR. CHANMONIE KAULESAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP-C, GNP-C

Contact information

Practice address
90 BERGEN ST, SUITE 3400, NEWARK, NJ 07103-2425
(973) 972-2085
(973) 972-2130
Mailing address
90 BERGEN STREET, SUITE 3400, NEWARK, NJ 07103-2425
(973) 972-2085
(973) 972-2130

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00268300
NJ

Other

Enumeration date
08/18/2010
Last updated
05/12/2015
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