Individual
KATHLEEN CHIONG NEPOMUCENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 WILLIAMSON STREET, ELIZABETH, NJ 07207-3625
(908) 944-5204
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
07561200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9129901
—
NJ
Enumeration date
01/27/2006
Last updated
04/25/2008
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