Individual
DR. RAYMOND WONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 834-3155
Mailing address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 834-3155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2821
ME
207Q00000X
Family Medicine Physician
OT016957
PA
Other
Enumeration date
06/24/2016
Last updated
07/03/2023
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