Individual
AUSTIN H WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 POLIFLY RD, SUITE 106, HACKENSACK, NJ 07601-1758
(201) 487-7617
(201) 342-5341
Mailing address
155 POLIFLY RD STE 106, HACKENSACK, NJ 07601-1749
(201) 441-9980
(201) 441-9948
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
25MA07607700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026476
—
NJ
Enumeration date
05/25/2006
Last updated
09/04/2022
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