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Individual

ADRIAN W ONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 SPRUCE STREET, 2 DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-7320
(412) 359-8639
Mailing address
3400 SPRUCE STREET, 2 DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-7320
(412) 359-8639

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD418860
PA
2086S0102X
Surgical Critical Care Physician
Primary
MD418860
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019001760001
PA
05
2337546
OH
05
3004235000
WV
Enumeration date
08/09/2005
Last updated
07/17/2024
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