Healthcare Provider Details

I. General information

NPI: 1407343155
Provider Name (Legal Business Name): HUI FENG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191-205 PARKINGWAY
QUINCY MA
02169-5011
US

IV. Provider business mailing address

191-205 PARKINGWAY
QUINCY MA
02169-5011
US

V. Phone/Fax

Practice location:
  • Phone: 617-820-5968
  • Fax: 833-471-5603
Mailing address:
  • Phone: 617-820-5968
  • Fax: 833-471-5603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1028460
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO3191
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberDO3191
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: