Individual
DR. ROLANDO M TONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 STATE RD 17, CHAMA, NM 87520-0668
(575) 756-1030
(575) 756-1030
Mailing address
PO BOX 668, 2215 STATE RD 17, CHAMA, NM 87520-0668
(575) 756-1030
(575) 756-1030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
89-109
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E1435
—
NM
Enumeration date
10/12/2005
Last updated
03/29/2013
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