Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Elizabeth Ellis Wong, MD

Individual provider Surgery Physician · NPI 1790006773

Kaitlyn Elizabeth Ellis Wong, MD is a Surgery Physician in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 856-2138
Fax: (774) 443-2043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 287610 (MA)
Surgery Physician Taxonomy 208600000X · Licence 287610 (MA)

Record details

NPI number1790006773
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023

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