ANSELM WONG M.D. NPI 1407903537

NPI Information

Anselm Wong, M.D. is a plastic and reconstructive surgery surgery in Worcester, MA with 20 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Anselm Wong, M.D. NPI is 1407903537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

281 LINCOLN ST
WORCESTER, MA
ZIP 01605-138
Phone: (508) 334-5958

The NPI 1407903537 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 11/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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