Individual
JIATONG MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 MOUNTAINVIEW RD, MILLBURN, NJ 07041-1532
(917) 328-6266
Mailing address
78 MOUNTAINVIEW RD, MILLBURN, NJ 07041-1532
(917) 328-6266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
221700000X
Art Therapist
Primary
002793
NY
Other
Enumeration date
10/12/2018
Last updated
05/22/2023
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