Chan-Wong, Lucy A.

Chan-Wong, Lucy A. is an sole proprietor health care provider with primary practice located at 2209 Wood Ave , Roselle NJ 07203-2930. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Chan-Wong, Lucy A. can be contacted via phone (908) 245-5556.

Contact Information

Primary practice address
2209 Wood Ave Roselle NJ 07203-2930
Phone: (908) 245-5556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DI 13810 New Jersey

Profile Details

NPI number 1679614739
LBN Legal business name Chan-Wong, Lucy A.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679614739 NPPES
New Jersey MEDICAID 3336301

Popular Providers