Individual
DR. BREEHAN KELLEY CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 E RIDGEWOOD AVE STE 200, RIDGEWOOD, NJ 07450-3937
(201) 327-8600
(201) 327-8225
Mailing address
1200 E RIDGEWOOD AVE STE 200, RIDGEWOOD, NJ 07450-3937
(201) 327-8600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA10854400
NJ
2084V0102X
Vascular Neurology Physician
25MA10854400
NJ
Other
Enumeration date
03/29/2013
Last updated
10/10/2025
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