| Dr Phillip T Wong, DC | |
|
1109 Atwells Ave, Providence, RI 02909-4144 | |
| (401) 569-9488 | |
| Not Available |
| Full Name | Dr Phillip T Wong |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1109 Atwells Ave, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164449625 | NPI | - | NPPES |
| 412382 | Other | RI | BLUE CHIP |
| 670397 | Other | RI | UNITEDHEALTHCARE |
| 31387 | Other | RI | BCBSRI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DCP00500 (Rhode Island) | Primary |
| 111N00000X | Chiropractor | 2915 (Massachusetts) | Secondary |
| 111N00000X | Chiropractor | X010778-1 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip T Wong, DC 1109 Atwells Ave, Providence, RI 02909-4144 Ph: (401) 569-9488 | Dr Phillip T Wong, DC 1109 Atwells Ave, Providence, RI 02909-4144 Ph: (401) 569-9488 |
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