Individual
ROBERT S. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-4328
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(646) 962-4328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
259442-1
NY
207L00000X
Anesthesiology Physician
G57747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G577470
BLUE SHIELD OF CA
CA
05
—
00G577470
—
CA
Enumeration date
08/01/2006
Last updated
01/06/2025
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