Organization
PETER WONG MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILIE WONG (OFFICE MANAGER)
(201) 446-4404
Entity
Organization
Contact information
Practice address
601 PAVONIA AVE, SUITE 301, JERSEY CITY, NJ 07306-2922
(201) 446-4404
(973) 228-2928
Mailing address
601 PAVONIA AVE, SUITE 301, JERSEY CITY, NJ 07306-2922
(201) 446-4404
(973) 228-2928
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA48180
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI8963
RAILROAD MEDICARE
NJ
Enumeration date
10/26/2007
Last updated
03/10/2008
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