Organization
JISUN CHA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JISUN CHA MD (PRESIDENT)
(201) 567-0330
Entity
Organization
Contact information
Practice address
460 SYLVAN AVE, ENGLEWOOD, NJ 07632-2919
(201) 567-0330
Mailing address
460 SYLVAN AVE, ENGLEWOOD, NJ 07632-2919
(201) 567-0330
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA09071200
NJ
Other
Enumeration date
03/30/2013
Last updated
09/26/2013
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