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Individual

ALEXANDER WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
850 HARRISON AVE FL 3, BOSTON, MA 02118-4001
(617) 414-4020
Mailing address
850 HARRISON AVE FL 3, BOSTON, MA 02118-4001
(617) 414-4020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
046011770
IL
152W00000X
Optometrist
Primary
OPT5724
MA

Other

Enumeration date
05/25/2023
Last updated
09/10/2024
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