Basic Information
| Provider Information | |||||||||
| NPI: | 1457354110 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TONG | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 480 HIDDEN VALLEY RD | ||||||||
| Address2: | |||||||||
| City: | SOQUEL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950739707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8314765432 | ||||||||
| FaxNumber: | 8314765432 | ||||||||
| Practice Location | |||||||||
| Address1: | 1505 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WATSONVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950763761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317221444 | ||||||||
| FaxNumber: | 8317224414 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2005 | ||||||||
| LastUpdateDate: | 02/08/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | G43285 | CA | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.