Individual
MICHELLE LIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, BOX 450, BOSTON, MA 02111-1552
(617) 636-4600
Mailing address
800 WASHINGTON ST, BOX 450, BOSTON, MA 02111-1552
(617) 636-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241495
MA
207W00000X
Ophthalmology Physician
Primary
245785
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245785
LICENSE
MA
Enumeration date
09/25/2009
Last updated
07/16/2013
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