Wong, Jenise Colleen

Wong, Jenise Colleen is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wong, Jenise Colleen can be contacted via phone (617) 355-6363.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-6363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 232340 Massachusetts

Profile Details

NPI number 1144488974
LBN Legal business name Wong, Jenise Colleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - 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.

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