Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 79791 | MA |
N | 111NI0900X | Internist | 79791 | MA |
Y | 207RC0000X | Internist - Cardiovascular Disease | 79791 | MA |
NPI | 1003898461 |
---|---|
Provider Name | Dr. Judy Wie-Ming Hung |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 07/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
079791 | TUFTS HEALTH PLAN (01) | MA |
3169944 | (05) | MA |
F19736 | (02) | |
J17922 | BCBS MA (01) | MA |