Individual
MATTHEW CHIENG KHOWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
26-01 KIPP STREET, FAIR LAWN, NJ 07410-3242
(201) 835-4209
Mailing address
26-01 KIPP STREET, FAIR LAWN, NJ 07410-3242
(201) 835-4209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RJ04230
NJ
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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