Individual
DR. ANNIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 MERCANTILE LANE, LARGO, MD 20774-5374
(301) 618-5578
(301) 618-5673
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST ATTN THERESA BROOK, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0047298
MD
207RG0100X
Gastroenterology Physician
0101222059
VA
207RG0100X
Gastroenterology Physician
MD31947
DC
Other
Enumeration date
11/16/2006
Last updated
12/01/2021
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