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Individual
MR. WILSON SHEN WONG
Active
Individual
MR. WILSON SHEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G39963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300037247
RAILROAD MEDICARE
—
01
—
300058011
RAILROAD MEDICARE
—
Enumeration date
01/30/2006
Last updated
10/04/2019
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