MEDICARE: LINGHUA WANG MD

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
1	208M00000X	Hospitalist Physician	210178	MA
2	207R00000X	Internal Medicine Physician	210178	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043272131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINGHUA WANG MD

Provider Business Mailing Address
First Line	:	1500 DISTRICT AVE STE 2119
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-5069
Country	:	US
Telephone Number	:	781-608-8128
Fax Number	:	855-829-6228

Provider Business Practice Location Address
First Line	:	1500 DISTRICT AVE STE 2119
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-5069
Country	:	US
Telephone Number	:	781-608-8128
Fax Number	:	855-829-6228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	12/08/2020

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Directions to “ LINGHUA WANG MD” Practice Location

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