Chonglun Xie MD

NPI 1861457459 - Internal Medicine - 207R00000X

NPI Details
NPI 1861457459
Gender Male
Enumeration Date 04/18/2006
Last Updated 10/30/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
5757 BOOTH RD
SUITE 200
JACKSONVILLE FL, 32207-5980, US
Phone (904) 636-9510
Fax (904) 636-9512
Business Location
5757 BOOTH RD
SUITE 200
JACKSONVILLE FL, 32207-5980, US
Phone (904) 636-9510
Fax (904) 636-9512
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME92689
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According to our database, Dr. Chonglun Xie MD NPI is 1861457459, taxonomy code is 207R00000X and license number is ME92689, license state is located at Florida. Chonglun Xie MD physically located at 5757 Booth Rd, Jacksonville FL, 32207-5980. NPI Number Chonglun Xie MD has the Individual type.

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1861457459 NPI number is provided on an as is basis without warranty of any kind. 1861457459 is maintained by the National Plan & Provider Enumeration System. The contents of Chonglun Xie MD are for informational purposes only.