Individual
DR. CHEUNG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, OBGYN SMITH 4, BURLINGTON, VT 05401-1473
(802) 847-3919
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
042-000-9968
VT
207VX0201X
Gynecologic Oncology Physician
Primary
042-000-9968
VT
207VX0201X
Gynecologic Oncology Physician
193497
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02056715
NY MEDICAID
NY
05
—
0VN2176
—
VT
Enumeration date
07/11/2006
Last updated
08/14/2025
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