Individual
LAURA WUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 6B, BOSTON, MA 02118-2526
(617) 414-5951
(617) 414-9251
Mailing address
801 ALBANY STREET, FL G, BOSTON, MA 02119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
216005
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110007127A
—
MA
Enumeration date
08/04/2006
Last updated
03/26/2020
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