Wong, David
Wong, David is an individual health care provider with primary practice located at 163 Libbey Pkwy #301, Weymouth MA 02189-3101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wong, David can be contacted via phone (781) 337-4224.Contact Information
Primary practice address
163 Libbey Pkwy #301
Weymouth MA 02189-3101
Phone: (781) 337-4224
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 73812 | Massachusetts |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 73812 | Massachusetts |
Profile Details
NPI number | 1528032844 |
---|---|
LBN Legal business name | Wong, David |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2006 |
Last updated | Jun 5th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528032844 | NPPES |
Massachusetts | Other | J11716 | BLUE SHIELD |
Massachusetts | Other | J11716 | BLUE SHIELD |
Massachusetts | Other | 34370 | BLUE SHIELD |
Massachusetts | Other | 42505 | BLUE SHIELD |
Massachusetts | Other | 51920 | BLUE SHIELD |
Massachusetts | Other | 2673 | BLUE SHIELD |
Massachusetts | Other | 2673 | BLUE SHIELD |
Massachusetts | Other | 05008358 | BLUE SHIELD |
Massachusetts | MEDICAID | 3080897 | BLUE SHIELD |
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