Dr Kevin Wong, MD | |
90 Bergen St Ste 8100, Newark, NJ 07103-2425 | |
(212) 241-6500 | |
Not Available |
Full Name | Dr Kevin Wong |
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Gender | Male |
Speciality | Otolaryngology |
Location | 90 Bergen St Ste 8100, Newark, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205331238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 25MA12598200 (New Jersey) | Primary |
Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
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Dr Kevin Wong, MD 90 Bergen St Ste 8100, Newark, NJ 07103-2425 Ph: () - | Dr Kevin Wong, MD 90 Bergen St Ste 8100, Newark, NJ 07103-2425 Ph: (212) 241-6500 |
Dr. Evelyne Kalyoussef, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen Street, Suite8100, Newark, NJ 07103 Phone: 973-972-4588 | |
Dr. Yu-lan Mary Ying, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen Street Suite 8100, Newark, NJ 07103 Phone: 973-972-4588 | |
Roman Povolotskiy, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 90 Bergen St Ste 8100, Newark, NJ 07103 Phone: 973-972-2548 | |
Eric T Carniol, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Suite 8100, Newark, NJ 07103 Phone: 973-972-2548 | |
Dr. Jean Anderson Eloy, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Suite 8100, Newark, NJ 07103 Phone: 973-972-4588 Fax: 973-972-3767 | |
Soly Baredes, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Doc-7200, Newark, NJ 07103 Phone: 973-972-2400 Fax: 973-972-2988 |