Individual
ARTHUR WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
195 COLLYER ST, SUITE 201, PROVIDENCE, RI 02904-1869
(401) 277-7799
Mailing address
195 COLLYER STREET, SUITE 201, PROVIDENCE, RI 02904-5142
(401) 277-7799
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD07580
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21032
BLUE SHIELD
RI
05
—
7002189
—
RI
Enumeration date
09/01/2006
Last updated
07/22/2009
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