Individual
RICHARD WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-070802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224344
UNISON
OH
01
—
000000539525
ANTHEM
OH
05
—
0289218
—
OH
01
—
0653493
AETNA
OH
01
—
100009832
RAILROAD MEDICARE
OH
01
—
364147
WELLCARE
OH
01
—
741795
BUCKEYE
OH
Enumeration date
07/20/2006
Last updated
11/06/2023
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