MR. Fredrick Va Wong, PA

NPI #1992229223 in Flushing, New York

Provider Information

NPI Number: 1992229223
Entity Type: Individual
Name: MR. Fredrick Va Wong, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 28, 2017
Last Updated: Mar 4, 2019

Practice Location

Address: 5645 MAIN ST
City: Flushing
State: New York
ZIP Code: 11355
Phone: (347) 804-5653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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