Individual
DR. TAI YUEN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.,CH.B.
Contact information
Practice address
1101 MARKET ST STE 2820, PHILADELPHIA, PA 19107-2936
(215) 592-9750
(215) 592-0129
Mailing address
1101 MARKET ST STE 2820, PHILADELPHIA, PA 19107-2936
(215) 704-7177
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
C1-0004382
DE
Other
Enumeration date
07/10/2017
Last updated
04/13/2018
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