Individual
NINA JIN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
418 QUINCY AVE, QUINCY, MA 02169-8130
(617) 472-4483
(617) 479-2703
Mailing address
418 QUINCY AVE, QUINCY, MA 02169-8130
(617) 472-4483
(617) 479-2703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.0014059
CT
183500000X
Pharmacist
Primary
PH240483
MA
Other
Enumeration date
05/07/2018
Last updated
05/15/2023
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