NPI 1003519737
Jung Ho Gong
Practice location
- Address
- 593 Eddy St, Providence, RI 02903-4923
- Phone
- (401) 793-2695
- Fax
- (401) 444-4165
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003519737
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Mar 2023
- Record last updated
- 1 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.