Provider Demographics
NPI:1528878295
Name:G&J HOPE SERVICE, INC
Entity type:Organization
Organization Name:G&J HOPE SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JINGWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-689-9969
Mailing Address - Street 1:351 N FRONTAGE RD UNIT 10
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-2628
Mailing Address - Country:US
Mailing Address - Phone:959-710-0347
Mailing Address - Fax:
Practice Address - Street 1:351 N FRONTAGE RD UNIT 10
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-2628
Practice Address - Country:US
Practice Address - Phone:959-710-0347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center