Most Relevant Information
Provider Data
| NPI Number: | 1003465881 |
| Provider Name: | GONG CHEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2019 |
| Last Updated: | 09/05/2019 |
Provider Practice Location
127 ARK RD
MOUNT LAUREL
NJ
080546302
Practice Location Phone/Fax
| Phone: | 8566087733 |
| Fax: |
Provider Mailing Location
1377 MOTOR PKWY STE 307
ISLANDIA
NY
117495258
Provider Mailing Phone/Fax
| Phone: | 6315805200 |
| Fax: | 6315805222 |