Individual
TRINLEY GONGYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 894-0412
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 941-7000
(508) 941-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
286376
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2018
Last updated
10/24/2024
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