Individual
JARED NIGEL BANTING CHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 CONCORD RD, MARLTON, NJ 08053-1903
(908) 922-1344
Mailing address
17 CONCORD RD, MARLTON, NJ 08053-1903
(908) 922-1344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/22/2007
Last updated
09/18/2014
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