Individual
DR. MARC BONGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
277 GOLD ST, APT 7H, BROOKLYN, NY 11201-3114
(857) 488-6131
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
P93870
NY
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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