Individual
FARRAH FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 GEORGE ST, NEW BRUNSWICK, NJ 08901-2008
(732) 235-6972
Mailing address
317 GEORGE ST, NEW BRUNSWICK, NJ 08901-2008
(732) 235-6972
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
12/17/2021
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