Individual
HANLON JOE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 VAN NESS AVE, SUITE 605, SAN FRANCISCO, CA 94109-3023
(415) 441-6120
(415) 441-3858
Mailing address
2000 VAN NESS AVE, SUITE 605, SAN FRANCISCO, CA 94109-3023
(415) 441-6120
(415) 441-3858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G32167
CA
207RN0300X
Nephrology Physician
Primary
G32167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG321670
—
CA
Enumeration date
11/25/2005
Last updated
01/11/2013
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