Individual
MRS. JIDONG CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1323 CRICKET LN, WOODBRIDGE, NJ 07095-1598
(732) 259-3855
Mailing address
1323 CRICKET LN, WOODBRIDGE, NJ 07095-1598
(732) 259-3855
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
609245
NY
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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