Individual
DR. JOHNSON TAI WONG
Active
Individual
DR. JOHNSON TAI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
53165
MA
207R00000X
Internal Medicine Physician
Primary
53165
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3009017
—
MA
01
—
713318
TUFTS HEALTH PLAN
MA
01
—
J05499
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
09/11/2025
Update your record
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