Individual
KEVIN LAWRENCE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 320-4411
(302) 320-4867
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0023908
DE
Other
Enumeration date
03/23/2018
Last updated
06/23/2021
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