Maria R Keanchong MD PA
NPI #1104151216 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1104151216
- Entity Type
- Organization
- Organization Name
- Maria R Keanchong MD PA
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Oct 7, 2009
- Last Updated
- Dec 11, 2009
Practice Location
- Address
- 20 PROSPECT AVE
- Address 2
- SUITE 810
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-1997
- Phone
- (201) 880-4949
Authorized Official
- Name
- DR. MARIA R. KEANCHONG, MD
- Title
- OWNER
- Phone
- (201) 880-4949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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