Individual
ALFRED WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-1400
Mailing address
423 HOGE ST APT 207, CINCINNATI, OH 45226-1347
(513) 292-7363
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
249565
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
147189
OH
Other
Enumeration date
08/21/2021
Last updated
01/08/2024
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