Individual
RAYMOND VILLONGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
121 CEDAR LN, SUITE 2B, TEANECK, NJ 07666-4457
(201) 836-4228
(201) 357-2150
Mailing address
121 CEDAR LN, SUITE 2B, TEANECK, NJ 07666-4457
(201) 836-4228
(201) 357-2150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
220788-1
NY
207R00000X
Internal Medicine Physician
25MA07738300
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
220788
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA07738300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01722150
—
NY
Enumeration date
07/17/2006
Last updated
08/05/2008
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