Stanislaus Cardiology Group

NPI #1902828841 in Modesto, California

Provider Information

NPI Number: 1902828841
Entity Type: Organization
Organization Name: Stanislaus Cardiology Group
Primary Specialty: Specialist
Enumeration Date: Jul 23, 2006
Last Updated: Apr 20, 2016

Practice Location

Address: 3621 FOREST GLENN DR
City: Modesto
State: California
ZIP Code: 95355-1339
Phone: (209) 521-9661

Authorized Official

Name: MR. KENT HON-WAH WONG, M.D.
Title: PARTNER
Phone: (209) 521-9661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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