Individual
ALAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3024 BURNET AVE, CINCINNATI, OH 45219-2420
(513) 221-2828
(513) 872-5721
Mailing address
1132 E NORTH BLVD, LEESBURG, FL 34748-5350
(352) 365-6650
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34.017672
OH
207N00000X
Dermatology Physician
OS20099
FL
207ND0101X
MOHS-Micrographic Surgery Physician
34.017672
OH
207ND0101X
MOHS-Micrographic Surgery Physician
OS20099
FL
207NS0135X
Procedural Dermatology Physician
34.017672
OH
207NS0135X
Procedural Dermatology Physician
OS20099
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
03/10/2026
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