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Individual
DR. PUI-SUM SUSAN WONG
Active
Individual
DR. PUI-SUM SUSAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E3038
AR
207R00000X
Internal Medicine Physician
Primary
L3192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145610001
—
AR
05
—
147257303
—
TX
05
—
200124670A
—
OK
01
—
8AN222
BCBS TEXAS
TX
01
—
P00473270
RR MEDICARE
TX
Enumeration date
03/14/2006
Last updated
04/20/2011
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