Wong, Jason H
Wong, Jason H is an individual health care provider with primary practice located at 221 Crescent St , Waltham MA 02453-3475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Wong, Jason H can be contacted via phone (866) 849-0692.Contact Information
Primary practice address
221 Crescent St
Waltham MA 02453-3475
Phone: (866) 849-0692
Fax: (888) 973-8821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 63516 | Tennessee |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 86632 | South Carolina |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 2021-02364 | North Carolina |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | DR.0066357 | Colorado |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | TPME5081 | Florida |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 63645 | Arizona |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | U1456 | Texas |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | MD0041655 | Washington |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 35C.000339 | Ohio |
Profile Details
| NPI number | 1821052242 |
|---|---|
| LBN Legal business name | Wong, Jason H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Nov 27th, 2023 - about 3 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 | 1821052242 | NPPES |
| Washington | MEDICAID | 8361347 |
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