Gloria C Fong, M.D., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C10002395 Issued in DE

Legal business name

GLORIA C FONG, M.D., INC

Practice address

530 Schoolhouse Rd
Suite G
Hockessin, DE 19707-9526

Phone

(302) 239-6282

Fax

(302) 239-6458

NPI assigned

Apr 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gloria C Fong, M.D.

Title

President

Phone

(302) 239-6282

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1245520907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SCHOOLHOUSE RD",
            "address_2": "SUITE G",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079526",
            "telephone_number": "302-239-6282",
            "fax_number": "302-239-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SCHOOLHOUSE RD",
            "address_2": "SUITE G",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079526",
            "telephone_number": "302-239-6282",
            "fax_number": "302-239-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA C FONG, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-239-6282",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10002395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000015701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.