Individual
DR. VICTOR WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1021738
MA
207Q00000X
Family Medicine Physician
Primary
336349
LA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
1021738
MA
Other
Enumeration date
03/28/2020
Last updated
05/03/2026
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