Doctor Name: | DR. CHAU KAI KONG |
NPI Number: | 1083609879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | 25MD00127000 |
Business Practice Address: | 301 Omni Dr Hillsborough, NJ - 088444526 |
Business Phone Number: | 9088747592 |
Business Fax Number: | 9088740755 |
Mailing Address: | 301 Omni Dr, HILLSBOROUGH |
State: | NJ |
Postal Code: | 088444526 |
Phone Number: | 9088747592 |
Fax Number: | 9088740755 |
NPI Enumeration Date: | 09/17/2005 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 25MD00127000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |