Individual
DR. ANITA O JONGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 MILLBURN AVE, STE M3, MILLBURN, NJ 07041-1942
(973) 912-8400
(973) 912-0099
Mailing address
120 MILLBURN AVE, STE M3, MILLBURN, NJ 07041-1942
(973) 912-8400
(973) 912-0099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA30422
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3008207
—
NJ
Enumeration date
08/25/2005
Last updated
03/07/2023
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