Provider Demographics
NPI:1932243623
Name:RONG, BING-NI (LIC AC)
Entity Type:Individual
Prefix:
First Name:BING-NI
Middle Name:
Last Name:RONG
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2421
Mailing Address - Country:US
Mailing Address - Phone:617-726-1775
Mailing Address - Fax:
Practice Address - Street 1:MASS. GENERAL HOSPITAL
Practice Address - Street 2:4 FRUIT STREET-MGH PHARMACY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-1775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA422171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist