Individual
DR. JUANITA NING FONCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 PROSPECT AVE STE 801, HACKENSACK, NJ 07601-1963
(551) 996-2000
Mailing address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(806) 789-5266
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
07/27/2023
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