Individual
MATTHEW WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 BOREN AVE, SUITE 711, SEATTLE, WA 98104-3595
(206) 622-6987
Mailing address
901 BOREN AVE, SUITE 711, SEATTLE, WA 98104-3595
(206) 622-6987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507409
—
WA
Enumeration date
10/16/2006
Last updated
04/21/2008
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