JACK FONG

DANBURY, CT
NPI1073536892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CT  026322)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- JACK FONG M.D.
24 HOSPITAL AVE
DANBURY, CT 06810-6099
Phone number: 203-797-7940
Mailing Address
-- JACK FONG M.D.
24 HOSPITAL AVE
DANBURY, CT 06810-6099
Phone number: 203-797-7940
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