Individual
JERRY THWIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 EAST DUARTE ROAD, DUARTE, CA 91010
(626) 256-4673
(626) 301-8463
Mailing address
1500 EAST DUARTE ROAD, DUARTE, CA 91010
(626) 256-4673
(626) 301-8463
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
288002
NY
207ZH0000X
Hematology (Pathology) Physician
136242
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A163242
CA
Other
Enumeration date
11/03/2010
Last updated
07/10/2024
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