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Individual

FONG WEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
419 N HARRISON ST, SUITE 101, PRINCETON, NJ 08540-3521
(609) 924-9300
(609) 430-9481
Mailing address
419 N HARRISON ST, SUITE 101, PRINCETON, NJ 08540-3521
(609) 924-9300
(609) 430-9481

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA02912700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0089569000
AMERIHLTH/IBC SPECIALTY
05
0690309
NJ
01
110137124
RAILROAD MED.-PRINCETON
01
110137135
RAILROAD MED- MONROE
01
176359
AMERIHLTH ADMIN SPECIALTY
01
1811290
UNITED HEALTH CARE
NJ
01
2186502
AETNA SPECIALTY
01
877482
AETNA PCP
01
MEP074
OXFORD PCP
01
MES084
OXFORD SPECIALTY
Enumeration date
10/04/2006
Last updated
06/18/2010
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