MEDICARE: DR. CHUNBO FAN LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	37AC00932600	NJ

General Provider Information

NPI Number	:	1295688372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHUNBO FAN LAC

Provider Business Mailing Address
First Line	:	11 CLAIRE DR
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-6805
Country	:	US
Telephone Number	:	302-397-1758
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 CLAIRE DR
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-6805
Country	:	US
Telephone Number	:	302-397-1758
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

Similar Medicare Providers

1730427162 — LAURISSA LYNN MALLOZZI HAMPTON LPC
Practice Location Address:

2 NORTH RD
WARREN, NJ
07059-7184

Practice Phone: 347-274-5830
Practice Fax:

1629921721 — BRIDGET LAUDIEN
Practice Location Address:

27 MOUNTAIN BLVD STE 9
WARREN, NJ
07059-5605

Practice Phone: 908-809-9463
Practice Fax:

1841973500 — LILY ENOS
Practice Location Address:

31U MOUNTAIN BLVD # 104
WARREN, NJ
07059-5643

Practice Phone: 908-842-0048
Practice Fax:

1811860166 — ADVANTAGE MEDICAL SUPPLY
Practice Location Address:

54 SNEIDER RD
WARREN, NJ
07059-7024

Practice Phone: 432-315-4745
Practice Fax:

1225270275 — WALGREEN CO
Practice Location Address:

110 MOUNTAIN BLVD EXT
WARREN, NJ
07059-5633

Practice Phone: 732-907-6745
Practice Fax: 732-907-6747

1760298368 — SARAH NUNN LCSW
Practice Location Address:

161 WASHINGTON VALLEY RD STE 207
WARREN, NJ
07059-7177

Practice Phone: 630-974-6602
Practice Fax: 630-487-2411

Directions to “ DR. CHUNBO FAN LAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.