Provider Demographics
NPI:1457354110
Name:TONG, WILLIAM F (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:TONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:480 HIDDEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SOQUEL
Mailing Address - State:CA
Mailing Address - Zip Code:95073-9707
Mailing Address - Country:US
Mailing Address - Phone:831-476-5432
Mailing Address - Fax:831-476-5432
Practice Address - Street 1:1505 MAIN ST
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3761
Practice Address - Country:US
Practice Address - Phone:831-722-1444
Practice Address - Fax:831-722-4414
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG43285208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA49298Medicare UPIN
CA00G432852Medicare PIN