Richard T. Fong, MD Valid NPI
Individual provider · Orthopaedic Surgery Physician · San Rafael, CA
- NPI
- 1033293105
- Type
- Individual (Type 1)
- Primary specialty
- Orthopaedic Surgery Physician (Orthopaedic Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207X00000X
- License number
- G47429 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-25
- Last updated
- 2007-07-08
Practice location
99 Montecillo Rd
San Rafael, CA 94903-3308
(415) 444-2000