Individual
DR. ELLIOT WONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6150
(215) 335-1832
Mailing address
2188 WINDING WAY, BROOMALL, PA 19008-2837
(484) 574-5116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD428421
PA
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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