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Individual

LIN WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3401 N BROAD ST, PARKINSON PAVILION, SUITE 400, PHILADELPHIA, PA 19140-5103
(215) 707-3133
Mailing address
3401 N BROAD ST, ROCK PAVILLION, 9TH FLOOR, OFFICE: A9-F021, PHILADELPHIA, PA 19140-5103

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP014732
PA

Other

Enumeration date
02/19/2015
Last updated
01/23/2017
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