Individual
JOANNE CHICHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
201 LYONS AVE, SUITE L4, NEWARK, NJ 07112-2027
(973) 926-7205
(973) 923-8993
Mailing address
201 LYONS AVE, SUITE L4, NEWARK, NJ 07112-2027
(973) 926-7205
(973) 923-8993
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
NN10419500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8639108
—
NJ
Enumeration date
03/07/2006
Last updated
11/30/2012
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