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NPI Code Detail

MEDICARE: CHRISTINE SOON

MEDICARE:   CHRISTINE  SOON
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
1183500000XPharmacist28RI03452400NJ

General Provider Information

NPI Number : 1386911162
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE SOON
Provider Business Mailing Address
First Line : 53 MEADOW LN
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-4325
Country : US
Telephone Number : 973-981-1848
Fax Number :
Provider Business Practice Location Address
First Line : 2440 HAMBURG TPKE
Second Line :
City : WAYNE
State : NJ
Zip : 07470-6226
Country : US
Telephone Number : 973-981-1848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2011
Last Update Date : 12/02/2020

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Directions to “ CHRISTINE SOON ” Practice Location

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