Mary Wong in Mayfield Hts - Neurodevelopmental Disabilities

Mary Wong - NPI 1417994195

Mary Wong is a Neurodevelopmental Disabilities in Mayfield Hts, Ohio. Mary Wong practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Mary Wong is 1417994195. The last update date is 2016-03-31.

Mary Wong's current location address is 6780 Mayfield Rd, Mayfield Hts, Ohio. You can contact this provider via phone number 2164494500. The mailing address for Mary Wong is 6780 Mayfield Rd, Mayfield Hts, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Wong
Address 6780 Mayfield Rd, Mayfield Hts, Ohio
Phone Number 2164494500
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1417994195
Provider Enumeration Date 2006-06-01
Last Updated Date 2016-03-31

Provider Mailing Address Detail

Address 6780 Mayfield Rd
City Mayfield Hts
State Ohio (OH)
Post Code 441242203
Phone Number 2164494500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurodevelopmental Disabilities
Taxonomy 2080P0008X
Licence No 35.078204
Definition:
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
942460636468 OH CARESOURCE
2216444 OH --

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FAQs about Mary Wong

What is the unique 10-digit identification code assigned to Mary Wong by the Centers for Medicare & Medicaid Services?

The Mary Wong has been issued the NPI (National Provider Identifier) 1417994195, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mary Wong is located?

The Mary Wong is situated at the following address: 6780 Mayfield Rd, Mayfield Hts, OH, 441242203.

What is the area of specialization for Mary Wong, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Wong is Neurodevelopmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0008X.

On what date was the 1417994195 assigned to Mary Wong?

The Mary Wong was issued its 1417994195 on 2006-06-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Mary Wong most recently updated or revised?

The information pertaining to Mary Wong, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-31.

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