Individual
GLORIA C. FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 SCHOOLHOUSE RD, SUITE G, HOCKESSIN, DE 19707-9526
(302) 239-6282
(302) 239-6458
Mailing address
530 SCHOOLHOUSE RD, SUITE G, HOCKESSIN, DE 19707-9526
(302) 239-6282
(302) 239-6458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10002395
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000015701
—
DE
01
—
0074160000
AMERIHEALTH
DE
01
—
32288
COVENTRY
DE
01
—
4271807
AETNA
DE
Enumeration date
08/10/2006
Last updated
07/08/2007
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