Individual
ERIC WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 HARRISON ST, FLR 7, OAKLAND, CA 94612-3466
(510) 625-6262
Mailing address
1800 HARRISON ST, FLR 7, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A80117
CA
Other
Enumeration date
07/20/2006
Last updated
12/09/2021
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