Individual
DR. WENDY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2101 MEDICAL PARK DR, #308, SILVER SPRING, MD 20902-4053
(301) 681-8000
(301) 681-8567
Mailing address
2101 MEDICAL PARK DR, #308, SILVER SPRING, MD 20902-4053
(301) 681-8000
(301) 681-8567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036110440
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036110440 / 01
—
IL
Enumeration date
12/15/2005
Last updated
11/17/2022
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