Individual
JIN CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A. - C
Contact information
Practice address
10 N GREENE ST # 5D143, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
537 ENSEMBLE CT, COCKEYSVILLE, MD 21030-1911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004780
MD
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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