Wong, Bonny Su

Wong, Bonny Su is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Brain Injury Medicine. Allopathic & Osteopathic Physicians / Brain Injury Medicine is her primary health care specialty. Wong, Bonny Su can be contacted via phone (617) 726-2000.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (617) 726-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X BP20056781 Texas
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2081P0301X S6329 Texas

Profile Details

NPI number 1316326366
LBN Legal business name Wong, Bonny Su
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2015
Last updated Jan 4th, 2022 - about 3 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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