Active NPIIndividual provider

Dr. Mariko K Wong, MD

Internal Medicine, Geriatric Medicine in Everett, Massachusetts

NPI Number1497984454
Practice location
103 Garland St, Everett, MA 02149-5066
Fax
617-394-7804
Last updated
October 13, 2020

Mariko K Wong is an Internal Medicine, Geriatric Medicine based in Everett, MA. Mariko K Wong practices in Everett, MA and has the professional credentials of MD. The NPI Number for Mariko K Wong is 1497984454 and holds a License No. ML 60093908 (WA). The current practice location address for Mariko K Wong is 103 Garland St, Everett, MA 02149-5066 and can be reached out via phone at 671-394-7703 and via fax at 617-394-7804.

Provider Profile Details

NPI Number
1497984454
Provider Name
Mariko K Wong
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
103 Garland St, Everett, MA 02149-5066
Phone Number
671-394-7703
Fax Number
617-394-7804
Primary Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X
Sole Proprietor
No
Other Names
Dr. Mariko Koya, MD (Former Name)
Provider Enumeration Date
July 10, 2009
Last Update Date
October 13, 2020
Certification Date
October 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Garland St
Everett, MA 02149-5066
Zip
02149-5066
Phone Number
671-394-7703
Fax Number
617-394-7804
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
103 Garland St
Everett, MA 02149-5066
City
Everett
State
MA
Zip
02149-5066

License Information

License Number (1)
ML 60093908
License State (1)
WA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
MD15008
License State (2)
RI
Taxonomy (2)
Internal Medicine, Geriatric Medicine · 207RG0300X
License Number (3)
036.129630
License State (3)
IL
Taxonomy (3)
Internal Medicine, Geriatric Medicine · 207RG0300X
License Number (4)
269330
License State (4)
MA
Taxonomy (4)
Internal Medicine, Geriatric Medicine · 207RG0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Mariko K Wong, MD?

The NPI number of Dr. Mariko K Wong, MD is 1497984454. It was assigned on July 10, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Mariko K Wong, MD?

Dr. Mariko K Wong, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in WA under license number ML 60093908.

Where does Dr. Mariko K Wong, MD practice?

The practice location is 103 Garland St, Everett, MA 02149-5066. The office can be reached at 671-394-7703 (phone) or 617-394-7804 (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 1497984454 directly on the NPPES registry website.

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