Individual
WANG KWONG KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7300 VAN DUSEN RD, LAUREL, MD 20707-9266
(301) 497-7954
Mailing address
7508 GLENNON DR, BETHESDA, MD 20817-2031
(301) 469-6941
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
D0016605
MD
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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