Dr RYAN J FONG is a male medical professional, specializing in Physician Assistant. He graduated in 2010.
MERCY HOSPITAL
19 S GORHAM XING
GORHAM
ME
040382690
Tel: 2075351400
| Npi | 1154621860 |
| Pac Id | 8123203643 |
| Professional Enrollment Id | I20181009000414 |
| Last Name | FONG |
| First Name | RYAN |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | MERCY HOSPITAL |
| Group Practice Pac Id | 6103737812 |
| Number Of Group Practice Members | 220 |
| Line 1 Street Address | 19 S GORHAM XING |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GORHAM |
| State | ME |
| Zip Code | 040382690 |
| Phone Number | 2075351400 |
| Hospital Affiliation Ccn 1 | 200008 |
| Hospital Affiliation Lbn 1 | MERCY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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