Individual
DR. ROBERT DANIEL JONGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
187 MILLBURN AVE STE 103, MILLBURN, NJ 07041-1845
(973) 467-1466
Mailing address
187 MILLBURN AVE STE 103, MILLBURN, NJ 07041-1845
(973) 467-1466
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA09710300
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
284933-1
NY
Other
Enumeration date
06/13/2011
Last updated
09/09/2016
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