Individual
ANNIE C WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
377 WILLARD ST, MB 117, QUINCY, MA 02169-6122
(617) 657-3065
Mailing address
377 WILLARD ST, MB 117, QUINCY, MA 02169-6122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA102433
MA
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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