Wong, Anselm

Wong, Anselm is an individual health care provider with primary practice located at 281 Lincoln St , Worcester MA 01605-2138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Wong, Anselm can be contacted via phone (508) 334-5958.

Contact Information

Primary practice address
281 Lincoln St Worcester MA 01605-2138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 264919 Massachusetts

Profile Details

NPI number 1407903537
LBN Legal business name Wong, Anselm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Nov 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407903537 NPPES
Massachusetts MEDICAID 110105588A

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