Individual
DR. LIM W WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 CHESTNUT ST, SUITE 701, PHILADELPHIA, PA 19107-4409
(215) 955-0735
(215) 503-9239
Mailing address
833 CHESTNUT ST, SUITE 701, PHILADELPHIA, PA 19107-4409
(215) 955-0735
(215) 503-9239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD062392L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016472000002
—
PA
Enumeration date
06/15/2006
Last updated
04/14/2015
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