Wong, Peter L
Wong, Peter L is an individual health care provider with primary practice located at 9109 Montgomery Blvd Ne , Albuquerque NM 87111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wong, Peter L can be contacted via phone (505) 275-4288.Contact Information
Primary practice address
9109 Montgomery Blvd Ne
Albuquerque NM 87111
Phone: (505) 275-4288
Fax: (505) 275-4203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2001339 | New Mexico |
Profile Details
| NPI number | 1427071521 |
|---|---|
| LBN Legal business name | Wong, Peter L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Oct 12th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427071521 | NPPES |
| New Mexico | MEDICAID | F0052 |
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