Individual
DR. PHILIP A. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 CRUTCHFIELD ST, DURHAM, NC 27704-2726
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2012-00168
NC
208600000X
Surgery Physician
4301088255
MI
Other
Enumeration date
05/14/2007
Last updated
05/14/2013
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