Individual
DR. WAI Y WONG
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
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
254632
MA
2080P0214X
Pediatric Pulmonology Physician
MD457994
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031495960001
—
PA
Enumeration date
06/23/2010
Last updated
12/07/2021
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