Individual
ALEXANDRA C FORMAN-CHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD NLLC
Contact information
Practice address
I BC PA 35 BEECHWOOD RD, SUITE 3A B, SUMMIT, NJ 07901
(908) 598-2400
(908) 598-2408
Mailing address
53 YALE STREET, MAPLEWOOD, NJ 07040
(973) 762-3952
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
08048300
NJ
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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