Wong, Edward Raymond

Wong, Edward Raymond is an individual health care provider with primary practice located at 20 Wall St Internal Medicine, Burlington MA 01803-4758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wong, Edward Raymond can be contacted via phone (781) 221-2800.

Contact Information

Primary practice address
20 Wall St Internal Medicine Burlington MA 01803-4758
Phone: (781) 221-2800
Fax: (781) 221-2680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52950 Massachusetts

Profile Details

NPI number 1629026356
LBN Legal business name Wong, Edward Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated May 16th, 2011 - about 13 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 1629026356 NPPES
Massachusetts Other V303 HARVARD PILGRIM
Massachusetts Other 0015268 HARVARD PILGRIM
Massachusetts MEDICAID 3014347 HARVARD PILGRIM
Massachusetts Other 052950 HARVARD PILGRIM
Massachusetts Other J06157 HARVARD PILGRIM

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