Individual
ILENE YI-ZHEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 OLD FERN HILL RD, BLDG B STE 202, WEST CHESTER, PA 19380-4269
(610) 692-4270
(610) 692-5443
Mailing address
915 OLD FERN HILL RD, BLDG B STE 202, WEST CHESTER, PA 19380-4269
(610) 692-4270
(610) 692-5443
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD439904
PA
390200000X
Student in an Organized Health Care Education/Training Program
A92463
CA
Other
Enumeration date
09/28/2007
Last updated
10/25/2011
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