IndividualActive
Jason Wong, MD
NPI 1821052242 · Adult Medicine Physician · Waltham, MA
Provider details
- NPI number
- 1821052242
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2021-02364 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
221 Crescent St
Waltham, MA 02453-3475
Phone: (866) 849-0692
Fax: (888) 973-8821
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 211699
Eagan, MN 55121-3699
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.