Individual
DR. MARIKO K WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
103 GARLAND ST, EVERETT, MA 02149-5066
(671) 394-7703
(617) 394-7804
Mailing address
103 GARLAND ST, EVERETT, MA 02149-5066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML 60093908
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036.129630
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
269330
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD15008
RI
Other
Enumeration date
07/10/2009
Last updated
10/13/2020
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