Individual
MRS. ANDREW C WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 MERIDIAN AVE STE 15, SAN JOSE, CA 95126-2905
(408) 297-9852
(408) 297-9859
Mailing address
259 MERIDIAN AVE STE 15, SAN JOSE, CA 95126-2905
(408) 297-9852
(408) 297-9859
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A52688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A526881
—
CA
Enumeration date
07/17/2006
Last updated
07/08/2007
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