Doctor Name: | AMY LOVE CHOJNACKI |
NPI Number: | 1245553288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P.-C |
License Number: | 26NJ00280100 |
Business Practice Address: | 640 White Horse Pike Hammonton, NJ - 080379602 |
Business Phone Number: | 6095679003 |
Business Fax Number: | 8583732489 |
Mailing Address: | 116 W Park Ave, OAKLYN |
State: | NJ |
Postal Code: | 081072426 |
Phone Number: | 6097449577 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2010 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00280100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |