Individual
OAK CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 937-8841
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA034436
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2250403
—
NJ
Enumeration date
10/19/2006
Last updated
02/01/2008
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