Individual
VICTORIA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-4300
Mailing address
108 CALVERT AVE, APT 2, WEST BABYLON, NY 11704-6315
(631) 707-6951
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058806
PA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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