Wong, Thomas
Wong, Thomas is an individual health care provider with primary practice located at 321 Main St , Acton MA 01720-3718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wong, Thomas can be contacted via phone (978) 263-1131.Contact Information
Primary practice address
321 Main St
Acton MA 01720-3718
Phone: (978) 263-1131
Fax: (978) 263-1562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 40940 | Massachusetts |
Profile Details
| NPI number | 1194715680 |
|---|---|
| LBN Legal business name | Wong, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1194715680 | NPPES |
| Massachusetts | MEDICAID | 2067595 |
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