Provider Demographics
NPI:1538322870
Name:WONG, MICHAEL JUOR-CHIANG (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JUOR-CHIANG
Last Name:WONG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, SUITE 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-1002
Mailing Address - Country:US
Mailing Address - Phone:443-643-3000
Mailing Address - Fax:443-643-3001
Practice Address - Street 1:510 UPPER CHESAPEAKE DR
Practice Address - Street 2:SUITE 415
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4328
Practice Address - Country:US
Practice Address - Phone:443-643-3000
Practice Address - Fax:443-643-3001
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2021-07-26
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09118700207LP2900X
MDD75827207LP2900X
MDD0075827208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine