Gong, Gerald D

Gong, Gerald D is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Gong, Gerald D can be contacted via phone (602) 933-0985.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Fax: (602) 933-2423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 19431 Arizona

Profile Details

NPI number 1558323105
LBN Legal business name Gong, Gerald D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558323105 NPPES
Arizona MEDICAID 327412

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