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Individual
DR. STEVEN P FONG
Active
Individual
DR. STEVEN P FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101242060
VA
207Q00000X
Family Medicine Physician
Primary
D0060052
MD
Other
Enumeration date
10/04/2006
Last updated
04/11/2011
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