Wong, Stephen
Wong, Stephen is an individual health care provider with primary practice located at 99 Beauvoir Ave Fl 5 , Summit NJ 07901-3533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wong, Stephen can be contacted via phone (908) 522-2000.Contact Information
Primary practice address
99 Beauvoir Ave Fl 5
Summit NJ 07901-3533
Phone: (908) 522-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD423879 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 25MA08582700 | New Jersey |
Profile Details
| NPI number | 1942293881 |
|---|---|
| LBN Legal business name | Wong, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Dec 14th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942293881 | NPPES |
| New Jersey | Other | P00844224 | RR MCR PTAN |
| New Jersey | MEDICAID | 0111589 | RR MCR PTAN |
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