Individual
KATHERINE KE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 MOUNT AUBURN ST, DOB 316, CAMBRIDGE, MA 02138-5600
(617) 497-6058
(617) 499-5441
Mailing address
300 MOUNT AUBURN ST, DOB 316, CAMBRIDGE, MA 02138-5600
(617) 497-6058
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
210278
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134805
—
MA
Enumeration date
11/10/2005
Last updated
07/13/2011
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