Wong, Iris C

Wong, Iris C is an individual health care provider with primary practice located at 110 W Squantum St , North Quincy MA 02171-2122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wong, Iris C can be contacted via phone (617) 376-3000.

Contact Information

Primary practice address
110 W Squantum St North Quincy MA 02171-2122
Phone: (617) 376-3000
Fax: (617) 376-3024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 233807 Massachusetts

Profile Details

NPI number 1306837711
LBN Legal business name Wong, Iris C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 2nd, 2022 - about 2 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 1306837711 NPPES
Massachusetts MEDICAID 070344
Massachusetts Other NP5023

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