Individual
CHAKIA FANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 SETON HALL DR, NEWARK, NJ 07103-6009
(732) 207-2863
Mailing address
22 SETON HALL DR, NEWARK, NJ 07103-6009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00643000
NJ
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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