TRISTON ANTHONY WONG NPI 1669969010

NPI Information

Triston Anthony Wong is a student in an organized health care education training program in Philadelphia, PA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Triston Anthony Wong NPI is 1669969010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

833 CHESTNUT ST STE 210
PHILADELPHIA, PA
ZIP 19107-405
Phone: (215) 955-8420

The NPI 1669969010 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2018 and was last updated on 4/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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