Individual
DR. BRIAN SZE-LIK WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
4415 SPRUCE ST APT 2A, PHILADELPHIA, PA 19104-4713
(267) 253-2081
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
189283
PA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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