Individual
DR. AILEEN GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
926 ARCH ST, 1 ST FLOOR, PHILADELPHIA, PA 19107-3107
(267) 232-0564
(610) 270-0508
Mailing address
348 WINDING WAY, KING OF PRUSSIA, PA 19406-2633
(610) 272-8839
(610) 270-0508
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004596L
PA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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