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Individual

DR. VINCENT W WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
728 PACIFIC AVE, SUITE 606, SAN FRANCISCO, CA 94133-4457
(415) 398-5023
(415) 398-5580
Mailing address
728 PACIFIC AVE, SUITE 606, SAN FRANCISCO, CA 94133-4457
(415) 398-5023
(415) 398-5580

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3798
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E3798
MEDICAL LICENSE
CA
Enumeration date
09/08/2006
Last updated
05/15/2008
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