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Individual

FONG JOLLY CHEUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
31 SCOTT DR, BERGENFIELD, NJ 07621-3131
(201) 384-5096
(201) 384-6690
Mailing address
31 SCOTT DR, BERGENFIELD, NJ 07621-3131
(201) 384-5096
(201) 384-6690

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
055579
NY
183500000X
Pharmacist
Primary
28RI02289500
NJ
183500000X
Pharmacist
PS46924
FL

Other

Enumeration date
01/18/2012
Last updated
01/18/2012
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