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Contact Information

CHANTAL M LISIK, MD
571 CENTRAL AVE STE 104A
NEW PROVIDENCE, NJ07974
 Phone: 908-632-5172
 Fax: 855-822-3223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for CHANTAL M LISIK · (Female)

NPI # 1275845729
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2010
Last updated 05/19/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08971700
Hospital affiliation(s)
  • OVERLOOK HOSPITAL - (Acute Care)
    99 BEAUVOIR AVENUE
    SUMMIT, NJ 07902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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