# RONG J GUAN, MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003169327
- **Authorized official:** RONG J GUAN MD (MEMBER)
- **Authorized official phone:** (617) 290-9881

## Contact information

- **Practice address:** 30 KNEELAND ST FL 5, BOSTON, MA 02111-1528
- **Practice address phone:** (617) 290-9881
- **Practice address fax:** (617) 350-6555
- **Mailing address:** 30 KNEELAND STREET, 5TH FLOOR, BOSTON, MA 20111-1528
- **Mailing address phone:** (617) 290-9881
- **Mailing address fax:** (617) 350-6555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 150086 | MA | Yes |

## Other

- **Enumeration date:** 10/24/2012
- **Last updated:** 11/02/2012