Individual
PETER J WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BANNING STREET, SUITE 320, DOVER, DE 19904
(302) 674-0223
(302) 674-0109
Mailing address
200 BANNING STREET, SUITE 320, DOVER, DE 19904
(302) 674-0223
(302) 674-0109
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C10004649
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000654801
—
DE
Enumeration date
12/05/2005
Last updated
06/18/2010
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