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NPI Code Detail

MEDICARE: MINGKUAN WANG

MEDICARE: MINGKUAN 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
1183500000XPharmacist239526MA

General Provider Information

NPI Number : 1982290052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINGKUAN WANG
Provider Business Mailing Address
First Line : 145 LITTLETON RD
Second Line :
City : WESTFORD
State : MA
Zip : 01886-3121
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 145 LITTLETON RD
Second Line :
City : WESTFORD
State : MA
Zip : 01886-3121
Country : US
Telephone Number : 978-692-3075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2020
Last Update Date : 12/14/2020

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Directions to “ MINGKUAN WANG ” Practice Location

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