Individual
LINDA GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
277 COMMERCIAL ST, MALDEN, MA 02148-6708
(781) 912-2500
Mailing address
277 COMMERCIAL ST, MALDEN, MA 02148-6708
(781) 912-2500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2316029
MA
Other
Enumeration date
05/31/2016
Last updated
05/13/2020
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