Individual
ROMAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 BROADWAY, SUITE 522, SEATTLE, WA 98122-4396
(206) 682-6087
Mailing address
801 BROADWAY, SUITE 522, SEATTLE, WA 98122-4325
(206) 682-6087
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0017730
WA
Other
Enumeration date
03/31/2006
Last updated
07/01/2010
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