Individual
DR. JOSEPH S WONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5112
(617) 575-8608
Mailing address
1 ARSENAL MARKET PL, WATERTOWN, MA 02472-5018
(617) 673-1851
(617) 499-5579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223264
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2092271
—
MA
Enumeration date
06/01/2005
Last updated
07/08/2007
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