Individual
HIU-FAI FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
21 AUTUMN ST, BOSTON, MA 02215-5317
(857) 218-3232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
258707
MA
2080C0008X
Child Abuse Pediatrics Physician
Primary
258707
MA
Other
Enumeration date
06/30/2008
Last updated
08/24/2015
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