Individual
GORDON W WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15400 NATIONAL AVE, SUITE 100, LOS GATOS, CA 95032-2433
(408) 358-8400
(408) 358-2793
Mailing address
15400 NATIONAL AVE, SUITE 100, LOS GATOS, CA 95032-2433
(408) 358-8400
(408) 358-2793
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
48162
WI
2085R0001X
Radiation Oncology Physician
Primary
A102501
CA
Other
Enumeration date
06/14/2006
Last updated
04/06/2017
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