Individual
JEFF WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6429
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MT214916
PA
Other
Enumeration date
04/05/2017
Last updated
05/31/2021
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