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Individual

DAVID T WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5801 NORRIS CANYON RD, SUITE 230, SAN RAMON, CA 94583-5440
(925) 275-9966
Mailing address
5801 NORRIS CANYON RD STE 230, SAN RAMON, CA 94583-5440
(925) 275-9966

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G071461
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ57371Z
BC/BS
CA
Enumeration date
08/09/2006
Last updated
06/25/2024
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