Individual
JOSEPHINE PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 WARD ST, SOMERVILLE, MA 02143-4214
(617) 629-6790
(617) 629-0010
Mailing address
11 WARD ST, SOMERVILLE, MA 02143-4214
(617) 629-6790
(617) 629-0010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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