Provider Demographics
NPI:1295023521
Name:CHONG, WOOJIN (MD)
Entity type:Individual
Prefix:DR
First Name:WOOJIN
Middle Name:
Last Name:CHONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:WOOJIN
Other - Middle Name:
Other - Last Name:CHONG-KAUFMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2950 COLLEGE DRIVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6915
Mailing Address - Country:US
Mailing Address - Phone:856-641-8680
Mailing Address - Fax:856-641-8679
Practice Address - Street 1:2950 COLLEGE DRIVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6915
Practice Address - Country:US
Practice Address - Phone:856-641-8680
Practice Address - Fax:856-641-8679
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY278519207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery