Organization
MARIA R KEANCHONG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA R. KEANCHONG MD (OWNER)
(201) 880-4949
Entity
Organization
Contact information
Practice address
20 PROSPECT AVE, SUITE 810, HACKENSACK, NJ 07601-1997
(201) 880-4949
(201) 880-4950
Mailing address
20 PROSPECT AVE, SUITE 810, HACKENSACK, NJ 07601-1997
(201) 880-4949
(201) 880-4950
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NJ
Other
Enumeration date
10/07/2009
Last updated
12/11/2009
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