Individual provider · Type 1 NPI

Clinton Kazuo Pong, MD

Family Medicine Physician · Boston, MA

NPI number 1376854307 Active

Practice location

50 Staniford St
Boston, MA 02114-2517

Call (617) 903-5000 Map

Fax (415) 252-7176

Mailing address

195 Canal St
Malden, MA 02148-6701

Other practice locations

  • 195 Canal St, Malden, MA 02148-6701 · (781) 338-0500

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X254269 (MA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1376854307

Clinton Kazuo Pong, MD's National Provider Identifier is 1376854307, issued on Jun 24, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Boston, MA. The record was last updated on Mar 14, 2025.