Individual
DR. JEFFREY J. FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
16 HARLEY ST, DORCHESTER CENTER, MA 02124-3609
(716) 316-9701
Mailing address
16 HARLEY ST, DORCHESTER CENTER, MA 02124-3609
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26639
MA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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