Provider Demographics
NPI:1619942661
Name:TONG, ARTHUR KING-FAN (MBBS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:KING-FAN
Last Name:TONG
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3 WOODLAND RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1702
Mailing Address - Country:US
Mailing Address - Phone:781-662-2066
Mailing Address - Fax:781-662-7869
Practice Address - Street 1:40 SECOND AVE
Practice Address - Street 2:MASS GENERAL WEST
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451
Practice Address - Country:US
Practice Address - Phone:781-522-9000
Practice Address - Fax:781-522-4230
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56718207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA720378OtherTUFTS HEALTH PLAN
MAJ08284OtherBCBS MA
MA3071961Medicaid
E03220Medicare UPIN
V03416Medicare PIN