Organization
ALLERGY & ASTHMA ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNSON TAI WONG M.D. (PRESIDENT)
(617) 742-5730
Entity
Organization
Contact information
Practice address
8 HAWTHORNE PL, SUITE 104, BOSTON, MA 02114-2335
(617) 742-5730
(617) 742-6917
Mailing address
8 HAWTHORNE PL, SUITE 104, BOSTON, MA 02114-2335
(617) 742-5730
(617) 742-6917
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
53165
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
714337
TUFTS HEALTH PLAN
MA
05
—
9739939
—
MA
01
—
M15695
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
12/19/2005
Last updated
08/22/2020
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