Individual
JASON H WONG
Active
Individual
JASON H WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207R00000X
Internal Medicine Physician
0101270185
VA
207R00000X
Internal Medicine Physician
Primary
MD.49117
AL
Other
Enumeration date
04/10/2019
Last updated
09/23/2024
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