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Organization

PETER WONG MD

Active
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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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