Individual
DR. MICHAEL JUOR-CHIANG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 UPPER CHESAPEAKE DR, SUITE 415, BEL AIR, MD 21014-4328
(443) 643-3000
(443) 643-3001
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031-1002
(443) 643-3000
(443) 643-3001
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA09118700
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
D75827
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
D0075827
MD
Other
Enumeration date
07/07/2008
Last updated
07/26/2021
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