Connie Chung Kong Tam M.D.

NPI 1891973194 - Community Health Worker - 172V00000X

NPI Details
NPI 1891973194
Gender Female
Enumeration Date 02/08/2008
Last Updated 02/08/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
4240 BOWNE ST APT 1C
FLUSHING NY, 11355-2802, US
Phone (718) 939-1182
Fax (718) 939-0563
Business Location
4240 BOWNE ST APT 1C
FLUSHING NY, 11355-2802, US
Phone (718) 939-1182
Fax (718) 939-0563
Toxanomy
Taxonomy Code 172V00000X
License State New York
License Number 172862
Remove 1891973194 NPI Number
 

According to our database, Dr. Connie Chung Kong Tam M.D. NPI is 1891973194, taxonomy code is 172V00000X and license number is 172862, license state is located at New York. Connie Chung Kong Tam M.D. physically located at 4240 Bowne St Apt 1c, Flushing NY, 11355-2802. NPI Number Connie Chung Kong Tam M.D. has the Individual type.

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1891973194 NPI number is provided on an as is basis without warranty of any kind. 1891973194 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Chung Kong Tam M.D. are for informational purposes only.