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Individual
PETER S FONG
Active
Individual
PETER S FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHARMD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD215294
OR
207RN0300X
Nephrology Physician
Primary
MD215294
OR
Other
Enumeration date
08/27/2011
Last updated
05/02/2024
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