Wong, Justin Carmine

Wong, Justin Carmine is an individual health care provider with primary practice located at 2902 W Agua Fria Fwy Ste 1090 , Phoenix AZ 85027-3970. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Wong, Justin Carmine can be contacted via phone (602) 648-5444.

Contact Information

Primary practice address
2902 W Agua Fria Fwy Ste 1090 Phoenix AZ 85027-3970
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 52139 Arizona
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 52139 Arizona

Profile Details

NPI number 1295979615
LBN Legal business name Wong, Justin Carmine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Jul 26th, 2022 - about 2 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 1295979615 NPPES
Arizona MEDICAID 152319

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