Organization
GORDON WONG MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON W WONG MD (OWNER)
(209) 342-2300
Entity
Organization
Contact information
Practice address
15400 NATIONAL AVE, STE 100, LOS GATOS, CA 95032-2433
(408) 358-8400
Mailing address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A102501
CA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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