Doctor Name: | MRS. OI LIN I WONG |
NPI Number: | 1134387590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN-C |
License Number: | 26NJ00157300 |
Business Practice Address: | 151 Knollcroft Rd Lyons, NJ - 079395001 |
Business Phone Number: | 9086470180 |
Business Fax Number: | 9086076367 |
Mailing Address: | 151 Knollcroft Rd, LYONS |
State: | NJ |
Postal Code: | 079395001 |
Phone Number: | 9086470180 |
Fax Number: | 9086076367 |
NPI Enumeration Date: | 06/01/2008 |
NPI Last Update Date: | 06/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 26NJ00157300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |