| NPI | 1487521753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN CHADDHA Nurse Practitioner 201-618-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |