Individual
JENNIFER LEE QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 LINWOOD PLZ STE 319, FORT LEE, NJ 07024-3798
(201) 567-0404
Mailing address
158 LINWOOD PLZ STE 319, FORT LEE, NJ 07024-3798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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