Provider Demographics
NPI:1760027692
Name:CHOGE, FLORENCE J (NP)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:J
Last Name:CHOGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-5922
Mailing Address - Country:US
Mailing Address - Phone:609-945-3611
Mailing Address - Fax:
Practice Address - Street 1:3626 ROUTE 1
Practice Address - Street 2:PRINCETON WOUND CARE CENTER
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08450-5922
Practice Address - Country:US
Practice Address - Phone:609-945-3611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00930600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily