Wong, Susan

Wong, Susan is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Wong, Susan can be contacted via phone (617) 629-6280.

Contact Information

Primary practice address
40 Holland St Somerville MA 02144-2705
Phone: (617) 629-6280
Fax: (617) 629-6275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 52853 Massachusetts

Profile Details

NPI number 1811051311
LBN Legal business name Wong, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Mar 8th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811051311 NPPES
Massachusetts Other 796024 TUFTS
Massachusetts Other 001432 TUFTS
Massachusetts Other 0014532 TUFTS
Massachusetts Other 9398696-002 TUFTS
Massachusetts MEDICAID 3193560 TUFTS
Massachusetts Other E143 TUFTS
Massachusetts Other J03334 TUFTS

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