Individual
FREDERICK C WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CHANNING LAB, 181 LONGWOOD AVENUE, BOSTON, MA 02115
(617) 525-4258
Mailing address
352 RUSSETT RD, CHESTNUT HILL, MA 02467-3646
(617) 525-4258
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
58459
MA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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