IndividualActive
Jonathan Wong, MD
NPI 1174290522 · Pediatric Cardiology Physician · Boston, MA
Provider details
- NPI number
- 1174290522
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 289816 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Phone: (416) 616-6504
Approximate (ZIP-level) locationGet directions
Mailing address
300 Longwood Ave
Boston, MA 02115-5724
Registry dates
- Enumerated
- 2021-08-24
- Last updated
- 2021-08-24
- Certified
- 2021-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.