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Barry Fong

NPI 1427332436 · on the registry since 2011 · sole proprietor

Practice

Address
15 Main St
Waltham, MA 02453
Phone
(781) 642-8711
Organisation at this address
Walgreen Eastern Co Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts