Jung Ho Gong

NPI #1003519737 in Providence, Rhode Island

Provider Information

NPI Number: 1003519737
Entity Type: Individual
Name: Jung Ho Gong
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 22, 2023
Last Updated: May 1, 2024

Practice Location

Address: 593 EDDY ST
City: Providence
State: Rhode Island
ZIP Code: 02903-4923
Phone: (401) 793-2695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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