Wong, Stephen

Wong, Stephen is an individual health care provider with primary practice located at 3509 N Broad St , Philadelphia PA 19140-4105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wong, Stephen can be contacted via phone (215) 707-6617.

Contact Information

Primary practice address
3509 N Broad St Philadelphia PA 19140-4105
Phone: (215) 707-6617
Fax: (215) 707-1684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD018519E Pennsylvania

Profile Details

NPI number 1891783866
LBN Legal business name Wong, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 9th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891783866 NPPES
Pennsylvania MEDICAID 0006793620001

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