Individual
JEROME NCHAMUKONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N CLAYTON ST, WILMINGTON, DE 19805-3165
(302) 575-8040
Mailing address
701 N CLAYTON ST, WILMINGTON, DE 19805-3165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0024246
DE
207Q00000X
Family Medicine Physician
C7-0006877
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
07/01/2021
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