Individual
DR. THEODORE SUNKI HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BLOSSOM ST, RADIATION ONCOLOGY, BOSTON, MA 02114-2617
(617) 724-4504
(617) 726-3603
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-1159
(617) 726-3603
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
224274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103192
—
MA
01
—
468217
TUFTS HEALTH PLAN
MA
01
—
J28689
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
07/24/2012
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