Individual
MS. CAROL ANNE CHUPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
277 FOREST AVE, PARAMUS, NJ 07652-5428
(201) 986-1881
(201) 986-1871
Mailing address
277 FOREST AVE, PARAMUS, NJ 07652-5428
(201) 986-1881
(201) 986-1871
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00055000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00055000
LICENSE
NJ
Enumeration date
03/15/2007
Last updated
05/24/2010
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