Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 247985 | MA |
N | 111NI0900X | Internist | 247985 | MA |
Y | 207RR0500X | Rheumatology | 255544 | MA |
NPI | 1114212263 |
---|---|
Provider Name | Kevin Shaoang Wei |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2011 |
Last Update Date | 08/06/2017 |