Wang, Linda Teresa

Wang, Linda Teresa is an individual health care provider with primary practice located at 55 Fruit St Ell 01, Boston MA 02114-2696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Wang, Linda Teresa can be contacted via phone (617) 724-4110.

Contact Information

Primary practice address
55 Fruit St Ell 01 Boston MA 02114-2696
Fax: (617) 724-4050
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 74499 Massachusetts

Profile Details

NPI number 1457341513
LBN Legal business name Wang, Linda Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457341513 NPPES
Massachusetts MEDICAID 3083462
Massachusetts Other J11652
Massachusetts Other 724811

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