Individual
DR. ZHAODI GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
125 KINGS HWY N, LOWER LEVEL, WESTPORT, CT 06880-2428
(203) 557-3331
(203) 557-6688
Mailing address
30 COUNTRY CLUB DR, WOODBRIDGE, CT 06525-2510
(203) 557-3331
(203) 557-6688
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036139312
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
131548
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
52543
CT
Other
Enumeration date
10/15/2008
Last updated
03/08/2017
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