Provider Demographics
NPI:1205927191
Name:LIU, MING-KONG (MD)
Entity type:Individual
Prefix:DR
First Name:MING-KONG
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CARR PL
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-1011
Mailing Address - Country:US
Mailing Address - Phone:201-767-8158
Mailing Address - Fax:
Practice Address - Street 1:155 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-1742
Practice Address - Country:US
Practice Address - Phone:201-501-0082
Practice Address - Fax:201-501-8859
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06483400207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease