Regina Fung Guen Wong, M.D.

NPI #1992919823 in Lodi, California

Provider Information

NPI Number: 1992919823
Entity Type: Individual
Name: Regina Fung Guen Wong, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: May 10, 2007
Last Updated: Nov 30, 2010

Practice Location

Address: 2415 W VINE ST
Address 2: SUITE 105
City: Lodi
State: California
ZIP Code: 95242-3731
Phone: (209) 333-3135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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