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NPI Code Detail

MEDICARE: DR. JUSTINA DONG-YAIN NGO D.C.

MEDICARE:  DR. JUSTINA DONG-YAIN NGO  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor38MC00663300NJ

General Provider Information

NPI Number : 1659600583
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTINA DONG-YAIN NGO D.C.
Provider Business Mailing Address
First Line : 361 GARIBALDI AVE
Second Line :
City : LODI
State : NJ
Zip : 07644-3709
Country : US
Telephone Number : 973-777-9040
Fax Number : 973-777-5262
Provider Business Practice Location Address
First Line : 361 GARIBALDI AVE
Second Line :
City : LODI
State : NJ
Zip : 07644-3709
Country : US
Telephone Number : 973-777-9040
Fax Number : 973-777-5262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2009
Last Update Date : 12/24/2009

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Directions to “ DR. JUSTINA DONG-YAIN NGO D.C.” Practice Location

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