Basic Information
Provider Information
NPI: 1205820826
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GE
FirstName: TONG
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4520 UNION DEPOSIT RD
Address2:  
City: HARRISBURG
State: PA
PostalCode: 171112910
CountryCode: US
TelephoneNumber: 7176526105
FaxNumber: 7176522165
Practice Location
Address1: 361 ALEXANDER SPRING RD
Address2:  
City: CARLISLE
State: PA
PostalCode: 170156940
CountryCode: US
TelephoneNumber: 7179603319
FaxNumber: 7179603301
Other Information
ProviderEnumerationDate: 09/09/2005
LastUpdateDate: 11/05/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XMD422076PAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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