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NPI Code Detail

MEDICARE: DR. WILLIAM F TONG M.D.

MEDICARE: DR. WILLIAM F TONG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianG43285CA

General Provider Information

NPI Number : 1457354110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM F TONG M.D.
Provider Business Mailing Address
First Line : 480 HIDDEN VALLEY RD
Second Line :
City : SOQUEL
State : CA
Zip : 95073-9707
Country : US
Telephone Number : 831-476-5432
Fax Number : 831-476-5432
Provider Business Practice Location Address
First Line : 1505 MAIN ST
Second Line :
City : WATSONVILLE
State : CA
Zip : 95076-3761
Country : US
Telephone Number : 831-722-1444
Fax Number : 831-722-4414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/08/2010

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