Individual
ROBERT D WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 901-6901
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
273904
NY
207Y00000X
Otolaryngology Physician
ME115108
FL
Other
Enumeration date
06/10/2008
Last updated
02/06/2015
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