Gong, Andie Jiang

Gong, Andie Jiang is an sole proprietor health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Gong, Andie Jiang can be contacted via phone (617) 726-2000.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (617) 726-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1699532986
LBN Legal business name Gong, Andie Jiang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2024
Last updated Mar 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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