Individual
DR. ALBERT KINTIM WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 KNOLL NORTH DR STE 490, COLUMBIA, MD 21045-2380
(410) 964-1200
(410) 964-1002
Mailing address
5500 KNOLL NORTH DR STE 490, COLUMBIA, MD 21045-2380
(410) 964-1200
(410) 964-1002
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0025635
MD
207ND0900X
Dermatopathology Physician
D0025635
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301231000
—
MD
Enumeration date
03/16/2006
Last updated
12/18/2018
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