Provider Demographics
NPI:1619294360
Name:CHNG, TONG WOOI (MD)
Entity Type:Individual
Prefix:
First Name:TONG WOOI
Middle Name:
Last Name:CHNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TONG WOOI
Other - Middle Name:
Other - Last Name:CH'NG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:55 W 96TH ST
Mailing Address - Street 2:1E
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-4370
Mailing Address - Country:US
Mailing Address - Phone:952-303-4664
Mailing Address - Fax:
Practice Address - Street 1:55 W 96TH ST
Practice Address - Street 2:1E
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-4370
Practice Address - Country:US
Practice Address - Phone:952-303-4664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN51878208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics