Individual
JANG KONGTHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 DICKSON ST, SUITE #4, WELLINGTON, OH 44090-1300
(440) 647-5933
(440) 647-6230
Mailing address
508 DICKSON ST, SUITE #4, WELLINGTON, OH 44090-1300
(440) 647-5933
(440) 647-6230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35037577
OH
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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