Individual
CHARISSA J WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
571 CENTRAL AVE STE 101, NEW PROVIDENCE, NJ 07974-1547
(908) 464-4600
(908) 464-4737
Mailing address
571 CENTRAL AVE SUITE 101, NEW PROVIDENCE, NJ 07974
(908) 464-4600
(908) 464-4737
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA08601700
NJ
207W00000X
Ophthalmology Physician
25MA8601700
NJ
Other
Enumeration date
09/21/2006
Last updated
11/27/2024
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