Individual
DR. ZOON WANGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-3947
(774) 441-8058
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
245495
MA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
245495
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110098267A
—
MA
Enumeration date
05/18/2010
Last updated
11/16/2020
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