DR. LINDA TERESA WANG MD NPI 1457341513

NPI Information

NPI: 1457341513
Provider Name: DR. LINDA TERESA WANG, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Address:
55 FRUIT ST
ELL 01
BOSTON, MA
ZIP 02114
Phone: (617) 724-4110
Get Directions

DR. Linda Teresa Wang, MD is a pediatric emergency medicine pediatrics in Boston, MA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Linda Teresa Wang, MD NPI is 1457341513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT ST
ELL 01
BOSTON, MA
ZIP 02114-696
Phone: (617) 724-4110
Fax: (617) 724-4050

The enumeration date for this NPI number is 10/28/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	74499	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J11652	OTHER	MASSACHUSETTS	BCBS MA
2	724811	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	J11652	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
4	3083462	MEDICAID	MASSACHUSETTS
5	F00504	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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