| Doctor Name: | MISS BETTY WONG |
| NPI Number: | 1952514440 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPHT |
| License Number: | 377446 |
| Business Practice Address: | 720 Harrison Ave Boston, MA - 021182371 |
| Business Phone Number: | 6176383113 |
| Business Fax Number: | 6176388125 |
| Mailing Address: | 720 Harrison Ave, Suite # 1 BOSTON |
| State: | MA |
| Postal Code: | 021182371 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 04/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 377446 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |