Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BONNY SU WONG, M.D.
ActiveBONNY SU WONG, M.D. is a Brain Injury Medicine healthcare provider located in BOSTON, Massachusetts. NPI 1316326366 is currently active in the NPPES registry. Verify at CMS.
Brain Injury Medicine · BOSTON, MA
Registration Details
- NPI Number
- 1316326366
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2015 (11.261606237276 yrs)
- Last Updated
- Jan 4, 2022
- Licenses
-
BP20056781 (TX)S6329 (TX)
Practice Information
- Address
-
55 FRUIT STBOSTON, MA, 021142621Browse MA providers · Browse ZIP 02114
- Phone
- 6177262000
- Primary Specialty
-
Brain Injury Medicine
2081P0301X
- Additional Specialty
- Brain Injury Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.