Jack Fong, M.D.

NPI #1073536892 in Danbury, Connecticut

Provider Information

NPI Number: 1073536892
Entity Type: Individual
Name: Jack Fong, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jul 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 24 HOSPITAL AVE
City: Danbury
State: Connecticut
ZIP Code: 06810-6099
Phone: (203) 797-7940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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