Wang, Alice M
Wang, Alice M is an individual health care provider with primary practice located at 840 Harrison Ave Menino 3, Boston MA 02118-2905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Wang, Alice M can be contacted via phone (617) 414-5471.Contact Information
Primary practice address
840 Harrison Ave Menino 3
Boston MA 02118-2905
Phone: (617) 414-5471
Fax: (617) 414-4358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 229262 | Massachusetts |
Profile Details
| NPI number | 1275558991 |
|---|---|
| LBN Legal business name | Wang, Alice M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 10th, 2014 - about 11 years ago |
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 | 1275558991 | NPPES |
| Massachusetts | MEDICAID | 110081566A |
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