Most Relevant Information
Provider Data
| NPI Number: | 1003015322 |
| Provider Name: | TONY TONG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2007 |
| Last Updated: | 07/17/2007 |
Provider Practice Location
244 GEORGETOWN DR
HYDE PARK
MA
021361016
Practice Location Phone/Fax
| Phone: | 6174702915 |
| Fax: |
Provider Mailing Location
244 GEORGETOWN DR
HYDE PARK
MA
021361016
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |