Individual
ALEXANDER CHIANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
765 ROUTE 70 E BLDG A100, MARLTON, NJ 08053-2341
(856) 797-4721
(856) 797-4785
Mailing address
765 ROUTE 70 E BLDG A100, MARLTON, NJ 08053-2341
(856) 797-4721
(856) 797-4785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19538800
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01210900
NJ
Other
Enumeration date
09/22/2021
Last updated
10/05/2021
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