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Individual

VIRGINIA L WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
27100 CHARDON RD, HARRINGTON HEART & VASCULAR INST, RICHMOND HTS, OH 44143-1116
(440) 585-7035
(440) 585-7032
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(440) 585-7035
(440) 585-7032

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35-081035
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221416
UNISON
OH
05
2473621
OH
01
745379
BUCKEYE
OH
01
P00372970
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
12/30/2020
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