Dr. Candice C Wong, M.D., Ph.D.
Internal Medicine in Berkeley, CA. Individual provider (NPI-1).
NPI number1144455437
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1144455437
- Entity type
- Individual (NPI-1)
- Name
- Dr. Candice C Wong
- Credential
- M.D., Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2009
- Last updated
- Feb 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | g064075 | CA | Yes |
Practice location
2613 Hillegass AveBerkeley, CA 94704-3312
Phone 510-486-1958
Mailing address
2613 Hillegass AveBerkeley, CA 94704-3312
Phone 510-486-1958
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