THEODORE T. FONG MD
Individual Provider (NPI-1)
Active
Internal Medicine, Critical Care Medicine
Provider Information
- NPI Number
1316025208- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 7373 WEST LN, STOCKTON, CA, 952103377
- Phone
- (209) 476-2000
Specialties & Taxonomies
Internal Medicine, Critical Care Medicine
Primary License: CA #G77016