Organization
SW WONG LLC
Active
Other names
SHOESTERS SHOES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUN WAI WONG NA (SOLE MBR)
(856) 829-2931
Entity
Organization
Contact information
Practice address
69 CLEMENTON RD, SUITE 1, BERLIN, NJ 08009-1369
(856) 809-2931
(856) 809-2183
Mailing address
69 CLEMENTON RD, SUITE 1, BERLIN, NJ 08009-1369
(856) 809-2931
(856) 809-2183
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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