Dr. Bernice Wong
Family Doctor - Geriatric Medicine
1135 Morton St
Mattapan
, Massachusetts 02126-2834
Dr. Bernice Wong
Family Doctor - Geriatric Medicine
1135 Morton St
Mattapan
, Massachusetts 02126-2834
(617) 533-2471
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Bernice Wong
- 1135 Morton St
- Mattapan, MA
- Zip : 02126-2834
- Fax : (617) 533-2471
- Phone : (617) 533-2400
Second Address
- Dr. Bernice Wong
- 1135 Morton St
- Mattapan, MA
- Zip : 02126-2834
- Fax : (617) 533-2471
- Phone : (617) 533-2400
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 160274 | MA |
National Provider Identifier
| NPI | 1265412076 |
|---|---|
| Provider Name | Dr. Bernice Wong |
| First Address | Mattapan, MA 02126-2834 |
| Second Address | Mattapan, MA 02126-2834 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2006 |
| Last Update Date | 15/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H58219 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.