Individual
YING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 N PEARL STREET, ATTN PATHOLOGY DEPT, BROCKTON, MA 02301
(508) 427-3086
(508) 588-0520
Mailing address
235 N PEARL ST, BROCKTON, MA 02301
(508) 427-3086
(508) 427-2034
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
225847
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
225847
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107295
—
MA
01
—
447233
TUFTS
MA
01
—
J29128
BCBS
MA
Enumeration date
11/17/2005
Last updated
10/19/2015
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