Individual
DR. JASON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1173 BEACON AVE STE B, MANAHAWKIN, NJ 08050-2531
(732) 840-7500
Mailing address
1173 BEACON AVE STE B, MANAHAWKIN, NJ 08050-2531
(732) 840-7500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MB05817600
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MB05817600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841216850
—
NC
Enumeration date
07/14/2006
Last updated
12/04/2024
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