Individual
GEOFFREY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1511 PARK AVE, THIRD FLOOR, SOUTH PLAINFIELD, NJ 07080-5516
(908) 561-9500
(908) 561-7162
Mailing address
1511 PARK AVE, THIRD FLOOR, SOUTH PLAINFIELD, NJ 07080-5516
(908) 561-9500
(908) 561-7162
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA08099600
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MA08099600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2675738
UNITED HEALTHCARE
NJ
01
—
6485178
CIGNA
NJ
01
—
7731734
AETNA
—
01
—
P3701421
OXFORD
NJ
Enumeration date
07/19/2006
Last updated
06/24/2015
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