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NPI Code Detail

MEDICARE: MORRIS WANG

MEDICARE: MORRIS WANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPTL88928MA

General Provider Information

NPI Number : 1578158416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORRIS WANG
Provider Business Mailing Address
First Line : 158 ALBION ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2646
Country : US
Telephone Number : 919-961-5841
Fax Number :
Provider Business Practice Location Address
First Line : 225 CEDAR HILL ST STE 200
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-5900
Country : US
Telephone Number : 857-829-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2021
Last Update Date : 05/21/2026

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Directions to “ MORRIS WANG ” Practice Location

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