Provider Demographics
NPI:1659813632
Name:REGER, MINJUNG CHO (CRNP)
Entity type:Individual
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First Name:MINJUNG
Middle Name:CHO
Last Name:REGER
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:252 W SWAMP RD
Mailing Address - Street 2:STE 48
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2422
Mailing Address - Country:US
Mailing Address - Phone:215-230-9988
Mailing Address - Fax:215-230-9989
Practice Address - Street 1:252 W SWAMP ROAD
Practice Address - Street 2:SUITE 48
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2422
Practice Address - Country:US
Practice Address - Phone:215-230-9988
Practice Address - Fax:215-230-9989
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-08
Last Update Date:2020-11-05
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Provider Licenses
StateLicense IDTaxonomies
PASP016780363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care