Individual
FANNY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
253 S WASHINGTON AVE STE 1A, BERGENFIELD, NJ 07621-3739
(201) 338-4053
Mailing address
64 MADISON AVE APT 3, JERSEY CITY, NJ 07304-2855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00772800
NJ
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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