Search › Massachusetts › 152W00000X
Jacky Kong, O.D
NPI 1851556021 · on the registry since 2008
Practice
- Address
- 940 Commonwealth Ave
Boston
Boston, MA 02215 - Phone
- (617) 262-2020
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WP0200X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-28
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