Individual
DR. QUE-CHI VUONG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1405 CHEWS LANDING RD, SUITE 14, LAUREL SPRINGS, NJ 08021-2769
(856) 227-6575
Mailing address
3322 AVALON CT, VOORHEES, NJ 08043-4642
(856) 810-0474
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
25MA08031300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02566296
—
NY
Enumeration date
05/18/2006
Last updated
07/08/2007
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