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NPI Code Detail

MEDICARE: DR. WILLIAM JOSEPH WONG M.D.

MEDICARE:  DR. WILLIAM JOSEPH WONG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician0101235061VA
22085R0202XDiagnostic Radiology PhysicianMD.15278RLA
32085R0202XDiagnostic Radiology PhysicianA87670CA
42085R0202XDiagnostic Radiology PhysicianD93525MD

General Provider Information

NPI Number : 1023093770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JOSEPH WONG M.D.
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 207 LINCOLN AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92648-3505
Country : US
Telephone Number : 434-284-3469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 09/01/2023

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Directions to “ DR. WILLIAM JOSEPH WONG M.D.” Practice Location

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