Tong, Peggy

Tong, Peggy is an individual health care provider with primary practice located at 3003 W Good Hope Rd , Milwaukee WI 53209-2042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Tong, Peggy can be contacted via phone (414) 352-3100.

Contact Information

Primary practice address
3003 W Good Hope Rd Milwaukee WI 53209-2042
Fax: (414) 247-4597
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 38666 Wisconsin

Profile Details

NPI number 1063408573
LBN Legal business name Tong, Peggy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Nov 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063408573 NPPES
Wisconsin Other P00602507 RR MEDICARE
Wisconsin MEDICAID 32332500 RR MEDICARE

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