Individual
DAVID WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4000
(505) 248-4088
Mailing address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4000
(505) 248-4088
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2007-0686
NM
208000000X
Pediatrics Physician
MD23548
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172554
—
AZ
Enumeration date
01/25/2007
Last updated
04/16/2013
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