Individual
BRENDA L.Y. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-7615
(508) 856-4287
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
274318
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35.074050
OH
Other
Enumeration date
07/10/2006
Last updated
11/16/2020
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