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Organization

CHI-KWONG NG, M.D.P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHI-KWONG NG (PRESIDENT)
(352) 563-5767
Entity
Organization

Contact information

Practice address
905 N CITRUS AVE, CRYSTAL RIVER, FL 34428-3422
(352) 563-5767
(352) 563-5705
Mailing address
905 N CITRUS AVE, CRYSTAL RIVER, FL 34428-3422
(352) 563-5767
(352) 563-5705

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0068881
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379840200
FL
Enumeration date
11/15/2010
Last updated
12/08/2010
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