# DR. BO PANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134579519
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | DO3270 | ME | — |
| 207YS0123X | Facial Plastic Surgery Physician | DO3270 | ME | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 5101022329 | MI | — |

## Other

- **Enumeration date:** 06/16/2016
- **Last updated:** 03/31/2025