Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 278519 | NY |
NPI | 1295023521 |
---|---|
Provider Name | Dr. Woojin Chong |
First Address | Vineland, NJ 08360-6915 |
Second Address | Vineland, NJ 08360-6915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2011 |
Last Update Date | 27/10/2021 |