Individual
KONG T OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8110 MARKET ST, YOUNGSTOWN, OH 44512-6243
(330) 758-0900
Mailing address
8110 MARKET ST, YOUNGSTOWN, OH 44512-6243
(330) 758-0900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-04-2367-O
OH
Other
Enumeration date
06/23/2005
Last updated
02/01/2008
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