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General NPI Number Information
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NPI Number | 1912959644
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Entity Type | Organization
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Legal Business Name | MING-KONG LIU M.D., P.A.
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 155 N WASHINGTON AVE
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City | BERGENFIELD
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State | NJ
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Zip | 07621-1742
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Country | US
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Telephone | 201-501-0082
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Fax | 201-501-8859
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Provider Business Mailing Address
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Address Line | 155 N WASHINGTON AVE
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City | BERGENFIELD
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State | NJ
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Zip | 07621-1742
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Country | US
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Telephone | 201-501-0082
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Fax | 201-501-8859
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MING-KONG LIU
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Credential | M.D.
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Telephone | 201-501-0082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 25MA06483400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA06483400
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License Number State | NJ
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