IndividualActive
Jay Fong, M.D.
NPI 1801977640 · Pediatric Gastroenterology Physician · Worcester, MA
Provider details
- NPI number
- 1801977640
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 230289 (MA)
Practice location
55 Lake Ave North
Worcester, MA 01655
Phone: (774) 441-8082
Fax: (774) 441-8056
Mailing address
Po Box 415348
Boston, MA 02241-5348
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2020-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.