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Individual

MINSUNG JEONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-BC

Contact information

Practice address
22-02 BROADWAY STE 301, FAIR LAWN, NJ 07410-3016
(201) 414-5732
Mailing address
22-02 BROADWAY STE 301, FAIR LAWN, NJ 07410-3016

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR24535600
NJ
163W00000X
Registered Nurse
707868
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ15158300
NJ
363LF0000X
Family Nurse Practitioner
354927
NY

Other

Enumeration date
08/03/2024
Last updated
12/09/2025
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