DR. Charles W Wong, DO

NPI #1063401248 in Hartford, Kentucky

Provider Information

NPI Number: 1063401248
Entity Type: Individual
Name: DR. Charles W Wong, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Oct 19, 2005
Last Updated: Jan 9, 2010

Practice Location

Address: 310 S MAIN ST
City: Hartford
State: Kentucky
ZIP Code: 42347-1129
Phone: (270) 298-9136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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