Individual
VICTORIA YULAN TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1106 COLEGATE DR, EMERGENCY DEPARTMENT, MARIETTA, OH 45750-1323
(740) 568-2000
(740) 568-2096
Mailing address
PO BOX 449, ATTN: PROVIDER ENROLLMENT, MARIETTA, OH 45750-0449
(740) 374-6090
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.010477
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088702
—
OH
05
—
3810026372
—
WV
Enumeration date
11/02/2009
Last updated
07/12/2016
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