Provider Demographics
NPI:1831439934
Name:WONG, WAI T (MD)
Entity type:Individual
Prefix:DR
First Name:WAI
Middle Name:T
Last Name:WONG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6 CENTER DR
Mailing Address - Street 2:BUILDING 6, ROOM 217
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-1758
Mailing Address - Fax:301-496-1759
Practice Address - Street 1:6 CENTER DR
Practice Address - Street 2:BUILDING 6, ROOM 217
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-1758
Practice Address - Fax:301-496-1759
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
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Provider Licenses
StateLicense IDTaxonomies
PAMD426131207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology