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Individual

DR. DENNIS KA-CHEONG WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
34 NEW ENGLAND DR, LAKE HIAWATHA, NJ 07034-2028
(973) 263-0429
Mailing address
34 NEW ENGLAND DR, LAKE HIAWATHA, NJ 07034-2028
(973) 263-0429

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
190934
NY
225100000X
Physical Therapist
6277
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01450540
NY
Enumeration date
08/31/2006
Last updated
09/18/2007
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