Wangu, Zoon
Wangu, Zoon is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Wangu, Zoon can be contacted via phone (774) 442-3947.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (774) 442-3947
Fax: (774) 441-8058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 245495 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 245495 | Massachusetts |
Profile Details
| NPI number | 1528387420 |
|---|---|
| LBN Legal business name | Wangu, Zoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2010 |
| Last updated | Nov 16th, 2020 - about 5 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 | 1528387420 | NPPES |
| Massachusetts | MEDICAID | 110098267A |
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