Individual
DR. GENE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805
(781) 744-8780
(781) 744-1579
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8780
(781) 744-1579
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
242294
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084461A
—
MA
Enumeration date
06/15/2005
Last updated
08/14/2018
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