Individual
CAROL K WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
123 SUMMER ST, SUITE 150S, WORCESTER, MA 01608-1216
(508) 368-3110
(508) 368-3113
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 852-0600
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
082522-23
NH
367A00000X
Advanced Practice Midwife
Primary
RN2258359
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3103202
—
NH
Enumeration date
03/06/2012
Last updated
10/05/2020
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