Individual
DR. JONATHAN WAYNE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 PROSPECT AVE, SUITE 1A, HACKENSACK, NJ 07601-1909
(201) 342-4001
(201) 342-9569
Mailing address
90 PROSPECT AVE, SUITE 1A, HACKENSACK, NJ 07601-1909
(201) 342-4001
(201) 342-9569
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07071700
NJ
208000000X
Pediatrics Physician
25MA7071700
NJ
Other
Enumeration date
03/09/2006
Last updated
07/02/2025
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