Individual
MS. DEBRA GAIL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-6051
(781) 744-8000
Mailing address
PO BOX 24520, NEW YORK, NY 10087-3720
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30006318
WA
363LF0000X
Family Nurse Practitioner
200550145NP
OR
363LF0000X
Family Nurse Practitioner
AP091058
ME
363LF0000X
Family Nurse Practitioner
Primary
RN250536
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720074909
—
WA
05
—
279021
—
OR
01
—
P01665533
RR MEDICARE WVH
WA
Enumeration date
09/23/2005
Last updated
06/19/2025
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