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1528032844

NPI Code Detail

MEDICARE: DR. DAVID GAM WONG

MEDICARE: DR. DAVID GAM WONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	73812	MA
2	207L00000X	Anesthesiology Physician	73812	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05008358	OTHER	MA	PALMETTO GBA
2	51920	OTHER	MA	FALLON
3	2673	OTHER	MA	HARVARD FREEDOM
4	J11716	OTHER	MA	BLUE CARE 65
5	34370	OTHER	MA	BOSTON MEDICAL CENTER
6	2673	OTHER	MA	HARVARD PILGRIM
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	42505	OTHER	MA	HEALTY START
9	J11716	OTHER	MA	BLUE SHIELD

General Provider Information

NPI Number	:	1528032844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID GAM WONG

Provider Business Mailing Address
First Line	:	163 LIBBEY PKWY
Second Line	:	SUITE 301
City	:	WEYMOUTH
State	:	MA
Zip	:	02189-3137
Country	:	US
Telephone Number	:	781-337-4224
Fax Number	:	781-335-0429

Provider Business Practice Location Address
First Line	:	163 LIBBEY PKWY
Second Line	:	#301
City	:	WEYMOUTH
State	:	MA
Zip	:	02189-3101
Country	:	US
Telephone Number	:	781-337-4224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	03/17/2025

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Directions to “ DR. DAVID GAM WONG ” Practice Location

Language	Start Address	Practice Location

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