Jongco, Anita O
Jongco, Anita O is an individual health care provider with primary practice located at 120 Millburn Ave Ste M3, Millburn NJ 07041-1942. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jongco, Anita O can be contacted via phone (973) 912-8400.Contact Information
Primary practice address
120 Millburn Ave Ste M3
Millburn NJ 07041-1942
Phone: (973) 912-8400
Fax: (973) 912-0099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA30422 | New Jersey |
Profile Details
| NPI number | 1790778603 |
|---|---|
| LBN Legal business name | Jongco, Anita O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790778603 | NPPES |
| New Jersey | MEDICAID | 3008207 |
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