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Organization
BOSTON SPECIALISTS - NWH LLC
Active
Organization
BOSTON SPECIALISTS - NWH LLC
Active
Other names
BOSTON SPECIALISTS - NWH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LEUNG MD (DIRECTOR)
(734) 846-4910
Entity
Organization
Contact information
Practice address
65 HARRISON AVE STE 201, BOSTON, MA 02111-1924
(617) 804-6767
(877) 726-8492
Mailing address
1 NASSAU STREET UNIT 1906, BOSTON, MA 02111-1587
(617) 804-6767
(877) 726-8492
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085164A
—
MA
Enumeration date
07/08/2022
Last updated
07/18/2022
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