Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 160684 | MA |
NPI | 1033181656 |
---|---|
Provider Name | Dr. Feng Wang |
First Address | Springfield, MA 01151-1056 |
Second Address | Springfield, MA 01151-1056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 11/09/2019 |