IndividualActive
Alice Wong, DO
NPI 1932803236 · Family Medicine Physician · Pawtucket, RI
Provider details
- NPI number
- 1932803236
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- LP06042 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 Brewster St
Pawtucket, RI 02860-4400
Phone: (401) 729-2206
Fax: (401) 921-6962
Approximate (ZIP-level) locationGet directions
Mailing address
111 Brewster St
Pawtucket, RI 02860-4400
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2024-07-23
- Certified
- 2024-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.