Individual
SEON MI JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-2916
Mailing address
600 W 246TH ST, APT 216, BRONX, NY 10471-3611
(267) 788-5074
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
26NJ14848100
NJ
363LN0005X
Critical Care Neonatal Nurse Practitioner
F350353-1
NY
Other
Enumeration date
06/04/2013
Last updated
12/18/2023
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