Organization
DOCTOR GONG INTERNAL MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BING GONG MD (OWNER)
(201) 658-3148
Entity
Organization
Contact information
Practice address
68 HOLLAND AVE, DEMAREST, NJ 07627-2715
(212) 305-2862
Mailing address
68 HOLLAND AVE, DEMAREST, NJ 07627-2715
(201) 658-3148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
03/25/2023
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