IndividualActive
Jeremy Wong, M.D.
NPI 1962791343 · Neurology with Special Qualifications in Child Neurology Physician · Aurora, CO
Provider details
- NPI number
- 1962791343
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036148980 (IL)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense DR.0073627 (CO)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 110429
Aurora, CO 80042-0429
Registry dates
- Enumerated
- 2011-04-06
- Last updated
- 2025-02-07
- Certified
- 2025-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.