Individual
MS. IRIS C WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(617) 376-3024
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(173) 763-0246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
233807
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070344
—
MA
01
—
NP5023
BCBS
MA
Enumeration date
11/03/2005
Last updated
04/02/2022
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