Individual
JEFFREY MATTHEW TIONGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5121
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0053309
MD
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
11220
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
903300900
—
MD
Enumeration date
02/15/2006
Last updated
03/25/2022
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