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Organization
CEDRIC L WONG MD INC
Active
Organization
CEDRIC L WONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CEDRIC L WONG MD (PRESIDENT)
(916) 984-4500
Entity
Organization
Contact information
Practice address
1580 CREEKSIDE DRIVE, SUITE 100, FOLSOM, CA 95630
(916) 984-4500
(916) 984-4502
Mailing address
1580 CREEKSIDE DRIVE, SUITE 100, FOLSOM, CA 95630
(916) 984-4500
(916) 984-4502
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G74697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7242936
—
CA
Enumeration date
01/08/2008
Last updated
01/08/2008
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