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Individual

CHRISTOPHER J WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-1244
(484) 622-1542
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2352
(610) 270-2358

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS012448
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS012448
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101350418
PA
01
1757866
HIGHMARK BLUE SHIELD
PA
01
2422968000
AMERIHEALTH/INTERCOUNTY
PA
01
30025431
KEYSTONE MERCY
PA
01
OS012448
HEALTH PARTNERS
PA
Enumeration date
01/18/2006
Last updated
10/15/2012
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