Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | L-237319 | MA |
Y | 2080P0214X | Pediatric Pulmonologist | 246872 | MA |
NPI | 1326208844 |
---|---|
Provider Name | Dr. Ruobing Wang |
First Address | Boston, MA 02115 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 28/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1326208844 | (05) | MA |