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1316937535
KASENG DEREK CHAN-PONG
MELBOURNE, FL
NPI
1316937535
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Other Name
K DEREK CHAN-PONG
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: FL ME73216)
Enumeration Date
2005-10-27
Last Update Date
2019-04-04
Business Address
KASENG DEREK CHAN-PONG MD
1223 GATEWAY DR STE B
MELBOURNE, FL 32901-2607
Phone number: 321-725-4500
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Mailing Address
KASENG DEREK CHAN-PONG MD
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 321-361-5613
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