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Patra Vongsoasup

NPI 1265839526 · on the registry since 2014 · sole proprietor

Practice

Address
140 Park Ave
Florham Park, NJ 07932
Phone
(973) 404-9840
Organisation at this address
Summit Medical Group Pa
Summit Medical Group Pa
Summit Medical Group Pa
Summit Atlantic Surgery Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
98

Additional practice sites

  • 95 Mount Kemble Ave, Morristown, NJ

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
283X00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey