MINI CHACKO

LIVINGSTON, NJ
NPI1467908517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: NJ  26NJ00655400)
Enumeration Date2016-08-29
Last Update Date2016-08-29
Business Address
-- MINI CHACKO NNP
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039-5672
Phone number: 973-322-5000
Mailing Address
-- MINI CHACKO NNP
8 EDGEMERE RD
LIVINGSTON, NJ 07039-2807
Phone number: 973-992-5247
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