Individual
JESSICA KAREN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-2581
(215) 214-4038
Mailing address
3509 N BROAD ST, SUITE 226, PHILADELPHIA, PA 19140-4105
(215) 707-6400
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD467587
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/04/2015
Last updated
06/19/2020
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