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Individual

DR. JOSE RAMON C ONGKINGCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FAAP

Contact information

Practice address
23 MANHATTAN SQ, HAMPTON, VA 23666-5843
(757) 224-1600
(757) 825-1316
Mailing address
23 MANHATTAN SQ, HAMPTON, VA 23666-5843
(757) 224-1600
(757) 825-1316

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101049781
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006726682
VA
01
13389
SENTARA/OPTIMA
VA
01
259095
ALLIANCE/MAMSI/MDIPA/OP C
VA
01
324508
ANTHEM BCBS
VA
01
453922
AETNA
VA
01
541778786
COMMERCIAL HMO/PPO
VA
01
5417787860224E
CIGNA
VA
Enumeration date
06/07/2006
Last updated
01/07/2013
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