Individual
MS. THERESA ROSE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, RN
Contact information
Practice address
1 RIVERFRONT PLZ STE 300, NEWARK, NJ 07102-5412
(201) 273-7047
(855) 998-4358
Mailing address
100 OLD PALISADE RD APT 2111, FORT LEE, NJ 07024-7020
(510) 220-1797
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F02220735
NJ
Other
Enumeration date
02/28/2022
Last updated
07/21/2025
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