THEODORE T. FONG

STOCKTON, CA
NPI1316025208
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: CA  G77016)
Enumeration Date2006-11-01
Last Update Date2021-12-02
Business Address
THEODORE T. FONG MD
7373 WEST LN
STOCKTON, CA 95210-3377
Phone number: 209-476-2000
Mailing Address
THEODORE T. FONG MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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