Individual
ANTHONY C WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1600 DIVISADERO ST STE H1031, SAN FRANCISCO, CA 94143-3010
(415) 353-7175
Mailing address
5758 S MARYLAND AVE, MC 9006, CHICAGO, IL 60637-1426
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
125062527
IL
2085R0001X
Radiation Oncology Physician
Primary
A150048
CA
Other
Enumeration date
04/12/2012
Last updated
07/14/2017
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