Provider Demographics
NPI:1326602384
Name:TONG JIA WEI, ANNE (MBBS)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:TONG JIA WEI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 S BROAD ST # 1F
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-4906
Mailing Address - Country:US
Mailing Address - Phone:484-350-2457
Mailing Address - Fax:
Practice Address - Street 1:6071 OUTER DR W
Practice Address - Street 2:SINAI-GRACE HOSPITAL/DMC
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235
Practice Address - Country:US
Practice Address - Phone:484-350-2457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program