Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | L-214510 | MA |
NPI | 1073706438 |
---|---|
Provider Name | Chien-Wei Eric Liao |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 05/01/2022 |