Individual
JASON WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 DAVIS SQ, SOMERVILLE, MA 02144-2904
(617) 629-4156
Mailing address
1 DAVIS SQ, SOMERVILLE, MA 02144-2904
(617) 629-4156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235440
MA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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