Individual
GINA MARIE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803
(302) 651-4200
(302) 651-4945
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4200
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C1-0011860
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2013
Last updated
10/25/2019
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