Provider Demographics
NPI:1164868402
Name:CHON, W.KATIE
Entity Type:Individual
Prefix:
First Name:W.KATIE
Middle Name:
Last Name:CHON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE HEALTH PLAZA
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-1080
Mailing Address - Country:US
Mailing Address - Phone:862-778-4316
Mailing Address - Fax:
Practice Address - Street 1:ONE HEALTH PLAZA
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-1080
Practice Address - Country:US
Practice Address - Phone:862-778-4316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02268500183500000X
PARP040327T183500000X
CARPH47091183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist