Individual
JAYLANCE JIAWEI WENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
120 KINGSTON ST UNIT 808, BOSTON, MA 02111-2254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1225340
—
Other
Enumeration date
07/27/2023
Last updated
11/13/2024
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