Individual
DR. JIANLI DONG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
301 UNIVERSITY BOULEVARD, GULVESTON, TX 77555-0743
(409) 772-4866
(409) 772-5683
Mailing address
3433 COVE VIEW BLVD, APT # 3303, GULVESTON, TX 77554
(409) 354-3706
Taxonomy
Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
Primary
2002026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COP28231
NYSDDH
NY
Enumeration date
01/28/2006
Last updated
07/08/2007
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