Organization
G&R MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODFREY WONG M.D. (M.D.)
(410) 908-8343
Entity
Organization
Contact information
Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(916) 481-0777
(916) 977-1265
Mailing address
PO BOX 660877, SACRAMENTO, CA 95866-0877
(916) 481-0777
(916) 977-1265
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A102650
CA
Other
Enumeration date
12/22/2009
Last updated
02/09/2011
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