Organization
GLORIA C FONG, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA C FONG M.D. (PRESIDENT)
(302) 239-6282
Entity
Organization
Contact information
Practice address
530 SCHOOLHOUSE RD, SUITE G, HOCKESSIN, DE 19707-9526
(302) 239-6282
(302) 239-6458
Mailing address
530 SCHOOLHOUSE RD, SUITE G, HOCKESSIN, DE 19707-9526
(302) 239-6282
(302) 239-6458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10002395
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000015701
—
DE
Enumeration date
04/15/2011
Last updated
04/15/2011
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