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Individual

MRS. JAEOK CHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
45 HOMESTEAD DRIVE, SUITE B, COLUMBUS, NJ 08022
(609) 291-1535
(609) 291-1235
Mailing address
45 HOMESTEAD DRIVE, SUITE B, COLUMBUS, NJ 08022
(609) 291-1535
(609) 291-1235

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA47583
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1927604
NJ
Enumeration date
01/31/2007
Last updated
07/29/2014
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