Individual
JACQUELINE KO CHIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 ROUTE 73 N STE C, MARLTON, NJ 08053-1226
(856) 581-9711
(856) 581-9712
Mailing address
317 CHATHAM DR, WILLIAMSTOWN, NJ 08094-8847
(732) 618-6290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00859300
NJ
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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