Wong, Serena T
Wong, Serena T is an sole proprietor health care provider with primary practice located at 195 Little Albany St , New Brunswick NJ 08901-1914. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Wong, Serena T can be contacted via phone (908) 295-2172.Contact Information
Primary practice address
195 Little Albany St
New Brunswick NJ 08901-1914
Phone: (908) 295-2172
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07741300 | New Jersey |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25MA07741300 | New Jersey |
Profile Details
NPI number | 1881689511 |
---|---|
LBN Legal business name | Wong, Serena T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 19th, 2005 |
Last updated | Sep 6th, 2016 - about 8 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 | 1881689511 | NPPES |
New Jersey | MEDICAID | 0048526 |
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