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Individual

QIYUN JIANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6301 KENNEDY BLVD, NORTH BERGEN, NJ 07047-3420
(201) 662-8700
Mailing address
400 FAIRVIEW AVE APT 3C, FORT LEE, NJ 07024-3848

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00380900
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00380900
NJ

Other

Enumeration date
04/06/2021
Last updated
04/18/2026
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