Individual
LISHA WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE # ES217, BOSTON, MA 02215-5400
(617) 667-7284
Mailing address
330 BROOKLINE AVE # ES217, BOSTON, MA 02215-5400
(617) 667-7284
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/31/2022
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