Individual
JING GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(916) 712-9828
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(916) 712-9828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
055467
CT
208M00000X
Hospitalist Physician
Primary
286544
NY
Other
Enumeration date
04/20/2013
Last updated
07/19/2024
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