Individual
HEEJAE GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
537 CANAL ST, STAMFORD, CT 06902-5901
(203) 323-1293
Mailing address
537 CANAL ST, STAMFORD, CT 06902-5901
(203) 323-1293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0017206
CT
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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