Individual
DR. PAUL W WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PERKINS SQ, CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON, AKRON, OH 44308-1063
(330) 543-1000
Mailing address
1 PERKINS SQ, CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON, AKRON, OH 44308-1063
(330) 543-1000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
35 081623
OH
2085N0700X
Neuroradiology Physician
35 081623
OH
2085P0229X
Pediatric Radiology Physician
35 081623
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35 081623
OH
2085R0204X
Vascular & Interventional Radiology Physician
35 081623
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2350085
—
OH
01
—
300134621
RAILROAD MEDICARE
OH
Enumeration date
12/01/2005
Last updated
11/15/2012
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