Nathan Wong, MD
Family Medicine in Portsmouth, VA. Individual provider (NPI-1).
NPI number1457092009
StatusActive
Last updated in NPPESOct 10, 2026
Details
- NPI
- 1457092009
- Entity type
- Individual (NPI-1)
- Name
- Nathan Wong
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2022
- Certification date
- Oct 10, 2026
- Last updated
- Oct 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0101289887 | VA | Yes |
Practice location
3235 Academy Ave Ste 101Portsmouth, VA 23703-3200
Phone 757-484-7386
Mailing address
3235 Academy Ave Ste 101Portsmouth, VA 23703-3200
Phone 757-484-7386
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