Individual
STEPHANIE Y WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
566 COMMONWEALTH AVE APT 305, BOSTON, MA 02215-2525
(949) 701-8407
Mailing address
566 COMMONWEALTH AVE APT 305, BOSTON, MA 02215-2525
(949) 701-8407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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