Individual
DENNIS WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 STATE ROUTE 35, RED BANK, NJ 07701-5920
(732) 842-2000
(732) 224-0688
Mailing address
PO BOX 662, HOLMDEL, NJ 07733-0662
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA04542800
NJ
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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