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Contact Information

JAEOK CHA, MD
45 HOMESTEAD DRIVE
SUITE B
COLUMBUS, NJ08022
 Phone: 609-291-1535
 Fax: 609-291-1235
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JAEOK CHA · (Female)

NPI # 1225175011
Status Active
Credentials MD
Entity Individual
Enumeration date 01/31/2007
Last updated 07/29/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA47583
  • NJ Medicaid 1927604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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