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Individual

DR. ELAINE WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5800 HOLLIS ST, EMERYVILLE, CA 94608-2016
(510) 806-2100
(510) 806-2557
Mailing address
5800 HOLLIS ST, EMERYVILLE, CA 94608-2016
(510) 806-2100
(510) 806-2557

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A85039
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A850390
CA
Enumeration date
01/09/2007
Last updated
04/16/2017
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