MEDICARE: DR. QUE-CHI VUONG 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
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	25MA08031300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558314641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUE-CHI VUONG WONG M.D.

Provider Business Mailing Address
First Line	:	3322 AVALON CT
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-4642
Country	:	US
Telephone Number	:	856-810-0474
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 CHEWS LANDING RD
Second Line	:	SUITE 14
City	:	LAUREL SPRINGS
State	:	NJ
Zip	:	08021-2769
Country	:	US
Telephone Number	:	856-227-6575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1679552921 — DR. JOSEPH J. CONTI D.O.
Practice Location Address:

1405 CHEWS LANDING RD , SUITE 14
LAUREL SPRINGS, NJ
08021-2769

Practice Phone: 856-227-6575
Practice Fax: 856-374-9495

1104897370 — DR. SHANTHI SUBBIAH MD
Practice Location Address:

1405 CHEWS LANDING RD , SUITE 14
LAUREL SPRINGS, NJ
08021-2769

Practice Phone: 856-782-3300
Practice Fax: 856-504-8029

1790737963 — THERESA SOUTAR R.N. APN-C
Practice Location Address:

1405 CHEWS LANDING RD
LAUREL SPRINGS, NJ
08021-2769

Practice Phone: 856-227-6575
Practice Fax: 856-374-9495

1659323822 — MARISA CINALLI MSN,RN,APN-C
Practice Location Address:

1405 CHEWS LANDING RD
LAUREL SPRINGS, NJ
08021-2769

Practice Phone: 856-227-6575
Practice Fax: 856-374-9495

1821045428 — SICKLERVILLE INTERNAL MEDICINE
Practice Location Address:

1405 CHEWS LANDING RD , STE. 14
LAUREL SPRINGS, NJ
08021-2769

Practice Phone: 856-227-6575
Practice Fax: 856-374-9495

1114968716 — JAMES A PRATE O.D.
Practice Location Address:

1405 CHEWS LANDING RD
LAUREL SPRINGS, NJ
08021-2769

Practice Phone: 856-228-1171
Practice Fax:

Directions to “ DR. QUE-CHI VUONG WONG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.