Individual
FONG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 PRATT ST, DURHAM, NC 27705-3976
(919) 684-8964
Mailing address
652 SEALINE DR, CARY, NC 27519-2571
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
5016938
NC
207RX0202X
Medical Oncology Physician
AG06220161
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5016938
NC
Other
Enumeration date
09/06/2022
Last updated
10/22/2023
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