Individual
BIENVENIDO R. JONGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 CLARKSON AVE, ROOM B4104-A, BROOKLYN, NY 11203-2054
(718) 245-4079
(718) 245-3011
Mailing address
451 CLARKSON AVE, ROOM B4104-A, BROOKLYN, NY 11203-2054
(718) 245-4079
(718) 245-3011
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
115171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1876503
—
NJ
Enumeration date
12/20/2006
Last updated
06/18/2013
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