Healthcare Provider Details

I. General information

NPI: 1821443920
Provider Name (Legal Business Name): DENISE LING-YEUNG WONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE LING YEUNG

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

PO BOX 80690
CANTON OH
44708-0690
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3951
  • Fax:
Mailing address:
  • Phone: 330-363-7444
  • Fax: 330-363-7770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number35C.003054
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: