Individual
ALEXANDER GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1000
Mailing address
444 POPLAR AVE, GALLOWAY, NJ 08205-4513
(609) 350-9257
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
210002401
DC
2251X0800X
Orthopedic Physical Therapist
40QA02118200
NJ
Other
Enumeration date
10/18/2023
Last updated
01/04/2024
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