Individual
DR. EMILY MARY FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 OVERLOOK TERRACE, PHARMACY DEPT, MADISON, WI 53705
(608) 256-1901
Mailing address
1667 CAPITAL AVE APT 20, MADISON, WI 53705-1259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19865-40
WI
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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