Individual
JEFFREY JOHN ING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1617 SAINT MARKS PLZ, SUITE D, STOCKTON, CA 95207-6423
(209) 478-1797
(209) 478-1224
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 646-1292
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G78322
CA
207W00000X
Ophthalmology Physician
Primary
M-2308
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G783220
—
CA
Enumeration date
08/24/2006
Last updated
04/25/2022
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