MEDICARE: CHEUK HIU KONG

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
1	171100000X	Acupuncturist	25MZ00136900	NJ

General Provider Information

NPI Number	:	1992268676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHEUK HIU KONG

Provider Business Mailing Address
First Line	:	380 MAIN ST APT 42
Second Line	:
City	:	CHATHAM
State	:	NJ
Zip	:	07928-2113
Country	:	US
Telephone Number	:	973-356-3318
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 US HIGHWAY 22 E STE D
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-3511
Country	:	US
Telephone Number	:	908-325-3000
Fax Number	:	908-325-3232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	04/10/2019

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Directions to “ CHEUK HIU KONG ” Practice Location

Language	Start Address	Practice Location

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