Individual
SOO JUNG CHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CHARLOTTE PL STE 204, ENGLEWOOD CLIFFS, NJ 07632-2607
(201) 408-2204
(201) 608-5029
Mailing address
120 CHARLOTTE PL STE 204, ENGLEWOOD CLIFFS, NJ 07632-2607
(201) 408-2204
(201) 608-5029
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
26NH15256300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820-873-852
FEIN
NJ
Enumeration date
01/19/2018
Last updated
01/19/2018
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