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Individual
JOYCE S WONG
Active
Individual
JOYCE S WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
D0056762
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401624600
—
MD
01
—
64337201
CAREFIRST BC BS
MD
Enumeration date
12/20/2006
Last updated
10/15/2012
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