Individual
TIMOTHY TIN HENG WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1100
Mailing address
12310 SARAGLEN DR, SARATOGA, CA 95070-3225
(408) 772-3897
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
04/06/2014
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