Individual
MRS. SOON JA OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
130A W PLEASANT AVE, MAYWOOD, NJ 07607-1357
(201) 820-4477
Mailing address
42 LAKEWOOD TERRACE, BLOOMFIELD, NJ 07003
(973) 680-8733
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
26NO09947700
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00417700
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00417700
NJ
Other
Enumeration date
11/09/2011
Last updated
08/28/2014
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