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Individual

JASON CHUN HANG WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 THE CITY DR S, B-23 RM129, RT-26, ORANGE, CA 92868-3201
(714) 456-5651
Mailing address
101 THE CITY DR S, B-23 RM129, RT-26, ORANGE, CA 92868-3201
(714) 456-5651

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
107426
CA
2085R0001X
Radiation Oncology Physician
MD60011984
WA

Other

Enumeration date
08/04/2008
Last updated
05/11/2011
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