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Dr. Allen Gary Fong, MD
Otolaryngology/Facial Plastic Surgery Physician in San Jose, California
NPI 1477834463

Allen Gary Fong is a Otolaryngology/Facial Plastic Surgery Physician based in Saratoga, CA and is specialized in Otolaryngology/Facial Plastic Surgery. Allen Gary Fong practices in San Jose, CA and has the professional credentials of MD. The NPI Number for Allen Gary Fong is 1477834463 and holds a License No. C36904 (California).

The current practice location address for Allen Gary Fong is 2039 Forest Ave, San Jose, CA and can be reached out via phone at 408-806-1565 and via fax at 408-741-1595.

Location: 2039 Forest Ave, San Jose, CA, 95070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477834463
Provider Name
Allen Gary Fong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2039 Forest Ave, San Jose, CA, 95070
Phone Number
408-806-1565
Fax Number
408-741-1595
Provider Enumeration Date
09/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AF7272672 01 BNDD
institution
Provider Business Practice Location Address Details
Address
2039 Forest Ave
City
San Jose
State
California
Zip
95128
Phone Number
408-806-1565
Fax Number
408-741-1595
person
Provider Business Mailing Address Details
Address
2039 Forest Ave
City
San Jose
State
California
Zip
95128
Phone Number
408-806-1565
Fax Number
408-741-1595
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
C36904 (California)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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