Doctor Gong Internal Medicine Clinic | |
68 Holland Ave Demarest NJ 07627-2715 | |
(212) 305-2862 | |
Not Available |
Full Name | Doctor Gong Internal Medicine Clinic |
---|---|
Speciality | Internal Medicine |
Location | 68 Holland Ave, Demarest, New Jersey |
Authorized Official Name and Position | Bing Gong (OWNER) |
Authorized Official Contact | 2016583148 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Doctor Gong Internal Medicine Clinic 68 Holland Ave Demarest NJ 07627-2715 Ph: (201) 658-3148 | Doctor Gong Internal Medicine Clinic 68 Holland Ave Demarest NJ 07627-2715 Ph: (212) 305-2862 |
NPI Number | 1902520166 |
---|---|
Provider Enumeration Date | 09/30/2022 |
Last Update Date | 03/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902520166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |