DR. Ciriaco G. Bongalos, Jr., M.D.

NPI #1174585954 in Dover, Delaware

Provider Information

NPI Number: 1174585954
Entity Type: Individual
Name: DR. Ciriaco G. Bongalos, Jr., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Apr 5, 2006
Last Updated: Nov 24, 2009

Practice Location

Address: 1025 S GOVERNORS AVE
City: Dover
State: Delaware
ZIP Code: 19904-6901
Phone: (302) 734-9150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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