Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 56916 | MA |
Y | 208600000X | Surgeon | 56916 | MA |
N | 2086X0206X | Surgical Oncologist | 56916 | MA |
NPI | 1144329228 |
---|---|
Provider Name | Dr. John Pin Wei |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 06/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3172929 | (05) | MA |
E16633 | (02) | MA |