Individual
DR. CHONG SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1595 BRIDGE ST, #3, DRACUT, MA 01826-2696
(978) 323-2808
(978) 323-2810
Mailing address
1595 BRIDGE ST, #3, DRACUT, MA 01826-2696
(978) 323-2808
(978) 323-2810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
245826
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30222401
—
NH
Enumeration date
05/03/2006
Last updated
03/30/2017
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