Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 244895 | MA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 244895 | MA |
NPI | 1891945366 |
---|---|
Provider Name | Dr. Chiawen Liang |
First Address | Wellesley, MA 02481-6204 |
Second Address | Wellesley, MA 02481-6204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2008 |
Last Update Date | 29/01/2019 |