Individual
HAIYUN GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST., BOSTON, MA 02111-1552
(617) 347-2775
Mailing address
800 WASHINGTON ST. BOX286, BOSTON, MA 02111-1552
(617) 347-2775
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
243603
MA
Other
Enumeration date
03/01/2010
Last updated
04/21/2011
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