Mark J Wong


Address: 3640 Grand Ave, Suite 106, Oakland, CA 94610-2023
Phone: 5102688557

Mark J Wong (NPI# 1720136724, PAC ID# 4688843204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1720136724
PAC ID by PECOS 4688843204
Professional Enrollment ID I20110816000155
Full Name Mark J Wong
Address 3640 Grand Ave
Suite 106
Oakland
CA 94610-2023
Phone Number 5102688557
Gender M
Medical School LIFE CHIROPRACTIC COLLEGE
Graduation Year 1997
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
3640 Grand Ave, Suite 106, Oakland, CA 94610-2023 5102688557

Organization Information

Office Location

Street Address 3640 GRAND AVE
SUITE 106
City OAKLAND
State CA
Zip 94610-2023

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Competitor

Search similar physicians

City OAKLAND
Zip Code 94610
Specialty CHIROPRACTIC
City + Specialty OAKLAND + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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