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Individual

DR. DOMINIC CHIONGLO SIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2029
(609) 567-0608
Mailing address
777 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2029
(609) 567-0608

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08987000
NJ

Other

Enumeration date
10/11/2011
Last updated
10/11/2011
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