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NPI Code Detail

MEDICARE: DR. SUN WING TOMMY RICHARD TONG M.D.

MEDICARE: DR. SUN WING TOMMY RICHARD 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA70961CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528072543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUN WING TOMMY RICHARD TONG M.D.
Provider Business Mailing Address
First Line : 1333 S MAYFLOWER AVE 2ND FL
Second Line :
City : MONROVIA
State : CA
Zip : 91016-5266
Country : US
Telephone Number : 626-775-3514
Fax Number : 626-408-3911
Provider Business Practice Location Address
First Line : 1500 DUARTE RD
Second Line : DEPARTMENT OF PATHOLOGY, CITY OF HOPE
City : DUARTE
State : CA
Zip : 91010-3012
Country : US
Telephone Number : 347-749-0423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/06/2017

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