Individual
ALEXANDER W.Y. PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 NEVINS ST, SUITE 303, BRIGHTON, MA 02135-3514
(617) 787-8181
(617) 787-4644
Mailing address
11 NEVINS ST, SUITE 303, BRIGHTON, MA 02135-3514
(617) 787-8181
(617) 787-4644
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
73668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017559
NHP
MA
01
—
073668
THP
MA
01
—
278033
THP
MA
05
—
3075575
—
MA
01
—
469264
AETNA
MA
01
—
PAJ10846
BCBS
MA
Enumeration date
02/14/2007
Last updated
07/30/2013
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