Miss Christina Eunhae Chong, MS, RD, LDN | |
3156 Kensington Ave, Philadelphia, PA 19134-2400 | |
(302) 650-2170 | |
Not Available |
Full Name | Miss Christina Eunhae Chong |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 13 Years |
Location | 3156 Kensington Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093087207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DN004720 (Pennsylvania) | Secondary |
133V00000X | Dietitian, Registered | 998558 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Virtua Medical Group, Pa | 9830222397 | 1260 |
Provider Name | Virtua Medical Group, Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
Mailing Address | Practice Location Address |
---|---|
Miss Christina Eunhae Chong, MS, RD, LDN 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 325-4270 | Miss Christina Eunhae Chong, MS, RD, LDN 3156 Kensington Ave, Philadelphia, PA 19134-2400 Ph: (302) 650-2170 |
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