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Individual
DR. WILLIAM G. WONG
Active
Individual
DR. WILLIAM G. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G34456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G344560
BLUE SHIELD
CA
05
—
00G344560
—
CA
01
—
110230458
RAILROAD MEDICARE
CA
Enumeration date
08/03/2006
Last updated
07/31/2013
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