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Individual

MR. MAN TAT WONG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
9715 MEDICAL CENTER DRIVE, SHADY GROVE ORTHOPAEDIC ASSOCIATES, PA, SUITE 415, ROCKVILLE, MD 20850
(301) 340-9200
(301) 279-9358
Mailing address
21431 MANOR VIEW CIR, GERMANTOWN, MD 20876-6900
(301) 540-4360

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18855
MD

Other

Enumeration date
06/16/2006
Last updated
07/08/2007
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