Organization
E C JIONGCO, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO C JIONGCO MD (PRESIDENT)
(920) 568-5000
Entity
Organization
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 658-5000
(608) 826-2710
Mailing address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 658-5000
(608) 826-2710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31094800
—
WI
Enumeration date
07/29/2006
Last updated
01/23/2008
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