Wan, Emily S
Wan, Emily S is an individual health care provider with primary practice located at 1400 Vfw Pkwy , West Roxbury MA 02132-4927. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Wan, Emily S can be contacted via phone (617) 323-7700.Contact Information
Primary practice address
1400 Vfw Pkwy
West Roxbury MA 02132-4927
Phone: (617) 323-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 223189 | Massachusetts |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 223189 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 223189 | Massachusetts |
Profile Details
| NPI number | 1265423701 |
|---|---|
| LBN Legal business name | Wan, Emily S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | May 19th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265423701 | NPPES |
| Massachusetts | Other | 468196 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J28640 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 2102251 | TUFTS HEALTH PLAN |
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