Individual
DR. PATRICK WONG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 576-3525
Mailing address
1441 FLORIDA AVE, MODESTO, CA 11030-3816
(209) 576-3525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A15637
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
20A15637
CA
207RP1001X
Pulmonary Disease Physician
20A15637
CA
Other
Enumeration date
07/24/2008
Last updated
03/30/2019
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