Provider Demographics
NPI:1679704969
Name:CO, CHRISTOPHER JOHN NG (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER JOHN
Middle Name:NG
Last Name:CO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:250 EAST 18TH STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606
Mailing Address - Country:US
Mailing Address - Phone:510-735-3888
Mailing Address - Fax:510-628-0568
Practice Address - Street 1:250 EAST 18TH STREET
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606
Practice Address - Country:US
Practice Address - Phone:510-735-3888
Practice Address - Fax:510-628-0568
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036124209207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty