Individual
MR. TIMOTHY SUNG LIN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 CLINT MOORE RD STE 105, BOCA RATON, FL 33487-5712
(561) 939-0193
Mailing address
1601 CLINT MOORE RD STE 105, BOCA RATON, FL 33487-5712
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
69741
GA
207Y00000X
Otolaryngology Physician
TRN 12196
FL
Other
Enumeration date
06/26/2008
Last updated
01/28/2020
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