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Individual
DR. TIN WONG
Active
Individual
DR. TIN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OT014708
PA
207QA0505X
Adult Medicine Physician
Primary
20A13729
CA
390200000X
Student in an Organized Health Care Education/Training Program
P13-00487
NJ
Other
Enumeration date
06/24/2012
Last updated
03/17/2018
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