Individual
DR. CHUI FAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
470 E FORDHAM RD, BRONX, NY 10458-5108
(718) 960-3805
Mailing address
470 E FORDHAM RD, BRONX, NY 10458-5108
(718) 960-3805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
191508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1890766
—
NY
Enumeration date
05/04/2006
Last updated
12/18/2014
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