Individual
MISS KATHY CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
189 EAGLE ROCK AVE, ROSELAND, NJ 07068-1347
(973) 226-3359
Mailing address
PO BOX 54, ROSELAND, NJ 07068-0054
(973) 980-0195
(973) 774-1920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
01/28/2022
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