Individual
DR. MELISSA A CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20-20 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2300
(201) 791-4545
(201) 791-3709
Mailing address
20-20 FAIR LAWN AVE, FAIR LAWN, NJ 07410
(201) 791-4545
(201) 791-3709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06341000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7533101
—
NJ
Enumeration date
04/27/2006
Last updated
05/20/2025
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