Individual
DR. MARIA CHONG
Active
Individual
DR. MARIA CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00034779
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122223
L&I NUMBER
WA
01
—
123018
L&I NUMBER
WA
05
—
1295712396
—
ID
01
—
163567
L&I NUMBER
WA
01
—
175503
L&I NUMBER
WA
05
—
8227324
—
WA
Enumeration date
12/29/2005
Last updated
03/16/2017
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