Provider Demographics
NPI:1922607316
Name:SCHAMBELAN, JOSEPHINE MARIA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:MARIA
Last Name:SCHAMBELAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:NJ
Mailing Address - Zip Code:07421-3221
Mailing Address - Country:US
Mailing Address - Phone:973-897-6487
Mailing Address - Fax:
Practice Address - Street 1:9 PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:NJ
Practice Address - Zip Code:07421-3221
Practice Address - Country:US
Practice Address - Phone:973-897-6487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJF10200544207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine