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Individual

DR. CECELIA HSUN WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5870 HIATUS RD, SUITE 200, TAMARAC, FL 33321-6424
(954) 377-3172
Mailing address
5870 HIATUS RD, SUITE 200, TAMARAC, FL 33321-6424

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 126689
FL
208M00000X
Hospitalist Physician
35084623
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01665322
FL
05
2528107
OH
Enumeration date
09/26/2006
Last updated
07/14/2016
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