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Individual
GEOFFREY WONG
Active
Individual
GEOFFREY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA08099600
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MA08099600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2675738
UNITED HEALTHCARE
NJ
01
—
6485178
CIGNA
NJ
01
—
7731734
AETNA
—
01
—
P3701421
OXFORD
NJ
Enumeration date
07/19/2006
Last updated
06/24/2015
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