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DR. BURR BAUGHMAN FONG D.O.

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1992100721

Individual Registrant:
DR. BURR BAUGHMAN FONG D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4300 ALTON RD  MIAMI BEACH, FL 33140-2948 US
Tel: 305-674-2200  Fax: --

Contact information for business:
4300 ALTON RD  MIAMI BEACH, FL 33140-2948 US
Tel: 305-674-2200  Fax: --

Registration Information:
NPI: 1992100721
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
DCDO034728
N207PE0004XAllopathic & Osteopathic Physicians
Emergency Medicine
FL7777777

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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