Individual
DR. EILEEN JAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 MORTON ST, 4NORTH, JAMAICA PLAIN, MA 02130-3735
(617) 626-9367
(617) 626-9578
Mailing address
180 MORTON ST, 4NORTH, JAMAICA PLAIN, MA 02130-3735
(617) 626-9367
(617) 626-9578
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0800X
MA
Other
Enumeration date
09/27/2006
Last updated
07/09/2007
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