Individual
VERONICA MICHELLE BACONG-YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5400
Mailing address
7 GOULD AVE UNIT 1, SOMERVILLE, MA 02143-2307
(860) 941-8315
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
PA8438
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/04/2020
Last updated
04/13/2022
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