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Individual
BRIAN WONG
Active
Individual
BRIAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
000000A50734
CA
Other
Enumeration date
10/03/2006
Last updated
12/18/2007
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