Individual
DR. NICHOLAS WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2023 PULASKI HWY, HAVRE DE GRACE, MD 21078-2137
(410) 939-6477
(410) 939-6555
Mailing address
531 HALL CT, HAVRE DE GRACE, MD 21078-4261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2762
MD
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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