Individual
MR. JEROME WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CSN-NJ
Contact information
Practice address
5200 BROADWAY, WEST NEW YORK, NJ 07093-2638
(201) 553-4034
Mailing address
12 EVELYN PL, POMPTON PLAINS, NJ 07444-1231
(862) 228-1689
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
26NR13858800
NJ
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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