Individual
MR. GERALD WILZON QUAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
220 LIVINGSTON ST STE 108, NORTHVALE, NJ 07647-1739
(201) 564-7515
(201) 564-7514
Mailing address
220 LIVINGSTON ST STE 108, NORTHVALE, NJ 07647-1739
(201) 564-7515
(201) 564-7514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01851700
NJ
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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