Individual
DR. TIONG GWAN THE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, DCH
Contact information
Practice address
254 EASTON AVE, ST PETER'S UNIVERSITY HOSPITAL, NEW BRUNSWICK, NJ 08901
(732) 745-8600
Mailing address
254 EASTON AVE, ST PETER'S UNIVERSITY HOSPITAL, NEW BRUNSWICK, NJ 08901
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MA07116300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8878404
—
NJ
Enumeration date
03/16/2007
Last updated
07/13/2007
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