# MING T WONG MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013170406
- **Authorized official:** MR. MING TAT WONG MD (DOCTOR)
- **Authorized official phone:** (617) 254-5805

## Contact information

- **Practice address:** 39 BRIGHTON AVE, ALLSTON, MA 02134-2301
- **Practice address phone:** (617) 254-5805
- **Practice address fax:** (617) 254-7118
- **Mailing address:** 39 BRIGHTON AVE, ALLSTON, MA 02134-2301
- **Mailing address phone:** (617) 254-5805
- **Mailing address fax:** (617) 254-7118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2008
- **Last updated:** 07/07/2008