Individual
IVAN E LIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE STREET, CARITAS ST. ELIZABETH'S MEDICAL CENTER, BRIGHTON, MA 02135
(617) 789-2666
Mailing address
58 ROCKVIEW ST, APT 1, JAMAICA PLAIN, MA 02130-2112
(617) 789-2666
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
217627
MA
Other
Enumeration date
05/03/2006
Last updated
11/06/2014
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