Individual
ZHENYUAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
700 ALBANY ST, W408, BOSTON, MA 02118-2518
(617) 638-7083
Mailing address
700 ALBANY ST, W408, BOSTON, MA 02118-2518
(617) 638-7083
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
2863
MA
247ZC0005X
Clinical Laboratory Director (Non-physician)
4306
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110025599A
—
MA
05
—
30006321
—
NH
Enumeration date
10/28/2010
Last updated
10/28/2010
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