Individual
MRS. JAMIE JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
Mailing address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00716000
NJ
Other
Enumeration date
03/01/2022
Last updated
07/25/2022
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