Individual
NATHAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-0003
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-0003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04292
RI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MT223139
PA
207RP1001X
Pulmonary Disease Physician
Primary
MT223139
PA
Other
Enumeration date
05/30/2018
Last updated
06/18/2021
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