Individual
DR. JASON H WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 CRESCENT ST, WALTHAM, MA 02453-3475
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
2021-02364
NC
207QA0505X
Adult Medicine Physician
35C.000339
OH
207QA0505X
Adult Medicine Physician
49117
AL
207QA0505X
Adult Medicine Physician
63516
TN
207QA0505X
Adult Medicine Physician
63645
AZ
207QA0505X
Adult Medicine Physician
86632
SC
207QA0505X
Adult Medicine Physician
DR.0066357
CO
207QA0505X
Adult Medicine Physician
Primary
MD0041655
WA
207QA0505X
Adult Medicine Physician
TPME5081
FL
207QA0505X
Adult Medicine Physician
U1456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8361347
—
WA
Enumeration date
04/13/2006
Last updated
09/23/2025
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