Gong, Jeffrey
Gong, Jeffrey is an sole proprietor health care provider with primary practice located at 101 S New York Rd , Galloway NJ 08205-9609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gong, Jeffrey can be contacted via phone (609) 652-2730.Contact Information
Primary practice address
101 S New York Rd
Galloway NJ 08205-9609
Phone: (609) 652-2730
Fax: (609) 652-7463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB03676700 | New Jersey |
Profile Details
| NPI number | 1780771626 |
|---|---|
| LBN Legal business name | Gong, Jeffrey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780771626 | NPPES |
| New Jersey | Other | 0081732001 | AMERIHEALTH |
| New Jersey | MEDICAID | 0668206 | AMERIHEALTH |
| New Jersey | Other | 13611 | AMERIHEALTH |
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