Provider Demographics
NPI:1225560485
Name:WONG, CECILLIA YING YING (MD)
Entity Type:Individual
Prefix:
First Name:CECILLIA
Middle Name:YING YING
Last Name:WONG
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14 RESEARCH PL STE 3
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-2460
Mailing Address - Country:US
Mailing Address - Phone:978-571-5154
Mailing Address - Fax:978-250-8189
Practice Address - Street 1:14 RESEARCH PL STE 3
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2460
Practice Address - Country:US
Practice Address - Phone:978-571-5154
Practice Address - Fax:978-250-8189
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2023-09-25
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA284155207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease