CHI S WANG MD NPI 1295763647

NPI Information

  • NPI: 1295763647
  • Provider Name: CHI S WANG MD
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • Address: 20 HOPE AVE
    SUITE 208
    WALTHAM, MA
    ZIP 02453
  • Phone: (781) 891-1230

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NPI Details

CHI S WANG MD is an allergy allergy immunology in Waltham, MA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee CHI S WANG MD NPI is 1295763647. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20 HOPE AVE
SUITE 208
WALTHAM, MA
ZIP 02453
Phone: (781) 891-1230
Fax: (781) 893-7138

The provider's authorized official is Chi Shiang Wang .
The authorized official title is Md & Owner Of Practice and has the following contact phone number (978) 453-1300.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 8/22/2020.

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
1207KA0200XAllergy & ImmunologyAllergy34072MASSACHUSETTSYes
2207KA0200XAllergy & ImmunologyAllergy36270MASSACHUSETTSX
3208000000XPediatrics34072MASSACHUSETTSX
4208D00000XGeneral Practice34072MASSACHUSETTSX
5208D00000XGeneral Practice53478MASSACHUSETTSX
6208D00000XGeneral Practice51559MASSACHUSETTSX

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
19764704MEDICAIDMASSACHUSETTS
2M15313OTHERBC

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: 3/30/2025

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