Individual
ERIC T WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5435
(401) 444-8301
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
153765
MA
2084N0400X
Neurology Physician
Primary
MD17890
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3167411
—
MA
Enumeration date
07/19/2006
Last updated
03/16/2026
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