Individual
MARCONI CHU-CHU SACKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 S BROAD ST, CLAYTON, NJ 08312-2131
(443) 740-1672
Mailing address
713 S BROAD ST, CLAYTON, NJ 08312-2131
(443) 740-1672
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01407100
NJ
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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