Individual
DR. CLINTON KAZUO PONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 STANIFORD ST, BOSTON, MA 02114-2517
(617) 903-5000
(415) 252-7176
Mailing address
195 CANAL ST, MALDEN, MA 02148-6701
(781) 338-0500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
254269
MA
Other
Enumeration date
06/24/2010
Last updated
03/14/2025
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