IndividualActive
Edison Wong, M.D.
NPI 1457424392 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Maitland, FL
Provider details
- NPI number
- 1457424392
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 040751 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
668 N Orlando Ave Ste 1010
Maitland, FL 32751-4460
Phone: (407) 644-0101
Fax: (321) 441-1559
Approximate (ZIP-level) locationGet directions
Mailing address
668 N Orlando Ave Ste 1010
Maitland, FL 32751-4460
Additional practice locations (1)
- 275 Nichols RdFitchburg, MA 01420-1919Phone: (978) 343-5045Fax: (978) 343-5075
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.