Individual
TERRENCE PONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
300 PASTEUR DR., FALK CARDIOVASCULAR RESEARCH BLDG., STANFORD, CA 94305-5407
(617) 710-0918
Mailing address
300 PASTEUR DR., FALK CARDIOVASCULAR RESEARCH BLDG., STANFORD, CA 94305-5407
(617) 710-0918
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A154290
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2016
Last updated
08/13/2024
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