Dr. Bernice Wong, MD
Family Medicine, Geriatric Medicine in Mattapan, Massachusetts
1265412076- Practice location
- 1135 Morton St, Mattapan, MA 02126-2834
- Phone
- 617-533-2400
- Fax
- 617-533-2471
- Last updated
- April 15, 2011
Bernice Wong is a Family Medicine, Geriatric Medicine based in Mattapan, MA. Bernice Wong practices in Mattapan, MA and has the professional credentials of MD. The NPI Number for Bernice Wong is 1265412076 and holds a License No. 160274 (MA). The current practice location address for Bernice Wong is 1135 Morton St, Mattapan, MA 02126-2834 and can be reached out via phone at 617-533-2400 and via fax at 617-533-2471.
Provider Profile Details
- NPI Number
- 1265412076
- Provider Name
- Bernice Wong
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1135 Morton St, Mattapan, MA 02126-2834
- Phone Number
- 617-533-2400
- Fax Number
- 617-533-2471
- Primary Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 18, 2006
- Last Update Date
- April 15, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1135 Morton St
Mattapan, MA 02126-2834 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2834
- Phone Number
- 617-533-2400
- Fax Number
- 617-533-2471
Provider Business Mailing Address Details
- Address
- 1135 Morton St
Mattapan, MA 02126-2834 - City
- Mattapan
- State
- MA
- Zip
- 02126-2834
- Phone Number
- 617-533-2400
- Fax Number
- 617-533-2471
License Information
- License Number
- 160274
- License State
- MA
- Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Bernice Wong, MD?
The NPI number of Dr. Bernice Wong, MD is 1265412076. It was assigned on January 18, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Bernice Wong, MD?
Dr. Bernice Wong, MD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in MA under license number 160274.
Where does Dr. Bernice Wong, MD practice?
The practice location is 1135 Morton St, Mattapan, MA 02126-2834. The office can be reached at 617-533-2400 (phone) or 617-533-2471 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265412076 directly on the NPPES registry website.