Johnson T Wong (NPI# 1659362820, PAC ID# 1355325689) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1659362820 |
| PAC ID by PECOS | 1355325689 |
| Professional Enrollment ID | I20040615001039 |
| Full Name | Johnson T Wong |
| Address |
8 Hawthorne Pl Suite 104 Boston MA 02114-2335 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220071 | MASSACHUSETTS GENERAL HOSPITAL |
| 220101 | NEWTON-WELLESLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 55 Fruit St, Boston, MA 02114-2696 | 6177240287 | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC |
| 8 Hawthorne Pl, Suite 104, Boston, MA 02114-2335 |
| Street Address |
8 HAWTHORNE PL SUITE 104 |
| City | BOSTON |
| State | MA |
| Zip | 02114-2335 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack V Greiner | Ophthalmology | Charles River Eye Associates | 5 Whittier Pl, Suite 102, Boston, MA 02114-1429 |
| Christie Y Lee | Physician Assistant | Frank X Pedlow Jr Md PC | 30 Lancaster St, Fl 2, Boston, MA 02114-1704 |
| Natalie Jones | Physician Assistant | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Michelle Danley | Physical Therapy | Pinnacle Rehabilitation Network LLC | 30 Lancaster St, 100 Blue Hills Sports and Spine of Boston, Boston, MA 02114-1704 |
| Joannes M Grevelink | Dermatology | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Erik P Holmes | Physical Therapy | Pinnacle Rehabilitation Network LLC | 30 Lancaster St, 100 Blue Hills Sports and Spine of Boston, Boston, MA 02114-1704 |
| Amanda H Auerbach | Dermatology | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 | |
| Erica J Lundgren | Physician Assistant | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Andrew X Destefano | Physical Therapy | Pinnacle Rehabilitation Network LLC | 30 Lancaster St, 100 Blue Hills Sports and Spine of Boston, Boston, MA 02114-1704 |
| Frank X Pedlow Jr. | Orthopedic Surgery | Frank X Pedlow Jr Md PC | 30 Lancaster St, Fl 2, Boston, MA 02114-1704 |
| Find all physicians in zip 02114 | |||
| City | BOSTON |
| Zip Code | 02114 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | BOSTON + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Johnson T Wong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.