Individual
MR. JASON KEONI WONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
HSC
Contact information
Practice address
COMDT (CG-1122), US COAST GUARD 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
(609) 898-6960
Mailing address
1541 PENNSYLVANIA AVE, CAPE MAY, NJ 08204-4052
(609) 898-6960
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
NJ
Other
Enumeration date
01/13/2006
Last updated
07/08/2007
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