Search › New Jersey › 163W00000X
Chantal Wilson
NPI 1023442407 · on the registry since 2013 · sole proprietor
Practice
- Address
- 765 Vose Ave
Apt B10
Orange, NJ 07050 - Phone
- (973) 943-3728
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey