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1083957997
TODD C. FONG
SAN JOSE, CA
NPI
1083957997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A132563)
Enumeration Date
2013-03-28
Last Update Date
2017-02-22
Business Address
-- TODD C. FONG M.D.
777 E SANTA CLARA ST
SAN JOSE, CA 95112-1934
Phone number: 408-977-4423
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Mailing Address
-- TODD C. FONG M.D.
777 E SANTA CLARA ST INTERNAL MEDICINE
SAN JOSE, CA 95112-1934
Phone number: 408-977-4423
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