Wong, Debra Gail
Wong, Debra Gail is an individual health care provider with primary practice located at 41 Mall Rd , Burlington MA 01805-6051. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wong, Debra Gail can be contacted via phone (781) 744-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30006318 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP091058 | Maine |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200550145NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN250536 | Massachusetts |
Profile Details
| NPI number | 1720074909 |
|---|---|
| LBN Legal business name | Wong, Debra Gail |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jun 19th, 2025 - about last year |
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 | 1720074909 | NPPES |
| Washington | MEDICAID | 1720074909 | |
| Washington | MEDICAID | 279021 | |
| Washington | Other | P01665533 |
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