Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 158519 | MA |
N | 207VE0102X | Reproductive Endocrinologist | 158519 | MA |
NPI | 1326099367 |
---|---|
Provider Name | Dr. Wendy Kuohung |
First Address | Boston, MA 02119-3791 |
Second Address | Boston, MA 02118-4001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 26/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110003904A | (05) | MA |
H40328 | (02) | MA |