Individual
JOAQUIN WONG
Active
Individual
JOAQUIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11463R
LA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
11463R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118507
—
MS
05
—
1664472
—
LA
Enumeration date
07/24/2006
Last updated
03/12/2013
Update your record
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