Nicholas William Fong, PA-C

NPI #1205587607 in Moraga, California

Provider Information

NPI Number: 1205587607
Entity Type: Individual
Name: Nicholas William Fong, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 17, 2022
Last Updated: Apr 14, 2022

Practice Location

Address: 170 SANDRINGHAM DR S
City: Moraga
State: California
ZIP Code: 94556-1931
Phone: (925) 350-9222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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