Provider Demographics
NPI:1467944777
Name:WONG, STEPHANIE MARGARET (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MARGARET
Last Name:WONG
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 ST PAUL O
Mailing Address - Street 2:APT 402
Mailing Address - City:MONTREAL
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:248
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MCGILL UNIVERSITY HEALTH CENTRE - GENERAL SURGERY
Practice Address - Street 2:1650 CEDAR AVE, L9.424
Practice Address - City:MONTREAL
Practice Address - State:QUEBEC
Practice Address - Zip Code:H3G 1A4
Practice Address - Country:CA
Practice Address - Phone:514-934-1934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-01
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA274174208600000X
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program