Individual
PETER J WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 PAVONIA AVENUE, SUITE 301, JERSEY CITY, NJ 07306
(201) 421-7799
Mailing address
601 PAVONIA AVENUE, SUITE 301, JERSEY CITY, NJ 07306
(201) 421-7799
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA 48180
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060054211
RAILROAD MEDICARE
NJ
Enumeration date
11/15/2006
Last updated
10/31/2011
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