Jefferson Wong

NPI 1316195688 - Pharmacist - 183500000X

NPI Details
NPI 1316195688
Gender Male
Enumeration Date 08/28/2008
Last Updated 06/19/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
2918 AVENUE J
BROOKLYN NY, 11210-3842, US
Phone (718) 253-1700
Fax
Business Location
2918 AVENUE J
BROOKLYN NY, 11210-3842, US
Phone
Fax (718) 564-2386
Toxanomy
Taxonomy Code 183500000X
License State New York
License Number I046359
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According to our database, Mr. Jefferson Wong NPI is 1316195688, taxonomy code is 183500000X and license number is I046359, license state is located at New York. Jefferson Wong physically located at 2918 Avenue J, Brooklyn NY, 11210-3842. NPI Number Jefferson Wong has the Individual type.

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1316195688 NPI number is provided on an as is basis without warranty of any kind. 1316195688 is maintained by the National Plan & Provider Enumeration System. The contents of Jefferson Wong are for informational purposes only.