Individual
MATTHEW SHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7720 DUDLEY DR, WEST CHESTER, OH 45069-2400
(513) 779-5410
Mailing address
4401 ANDREA DR, KETTERING, OH 45429-5509
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10092
OH
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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