Individual
LIYI PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 SUMMER ST, SUITE 150 S, WORCESTER, MA 01608
(508) 368-3110
(508) 368-3113
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 368-3110
(508) 368-3113
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
233657
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2142473
—
MA
Enumeration date
07/26/2007
Last updated
02/20/2009
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