Ann Marie Deveras Wong M.D.

NPI 1093704769 - Pediatrics - 208000000X

NPI Details
NPI 1093704769
Gender Female
Enumeration Date 10/17/2005
Last Updated 10/30/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1801 NE 123RD ST
SUITE 414
NORTH MIAMI FL, 33181-2817, US
Phone (305) 981-0600
Fax (305) 981-2700
Business Location
900 S PINE ISLAND RD
SUITE 800
PLANTATION FL, 33324-3920, US
Phone (305) 981-0600
Fax (305) 532-1164
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 204659
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According to our database, Ann Marie Deveras Wong M.D. NPI is 1093704769, taxonomy code is 208000000X and license number is 204659, license state is located at New York. Ann Marie Deveras Wong M.D. physically located at 1801 Ne 123rd St, North Miami FL, 33181-2817. NPI Number Ann Marie Deveras Wong M.D. has the Individual type.

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1093704769 NPI number is provided on an as is basis without warranty of any kind. 1093704769 is maintained by the National Plan & Provider Enumeration System. The contents of Ann Marie Deveras Wong M.D. are for informational purposes only.