Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00681200 | NJ |
N | 111NN1001X | Nutrition | 38MC00681200 | NJ |
NPI | 1154625952 |
---|---|
Provider Name | Dr. Nicolas Chillemi |
First Address | Scotch Plains, NJ 07076-1717 |
Second Address | Scotch Plains, NJ 07076-1717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2011 |
Last Update Date | 09/10/2020 |