Provider Demographics
NPI:1003050642
Name:BI, WENYA LINDA
Entity Type:Individual
Prefix:
First Name:WENYA
Middle Name:LINDA
Last Name:BI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WENYA
Other - Middle Name:LINDA
Other - Last Name:BI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:375 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6007
Mailing Address - Country:US
Mailing Address - Phone:857-307-0869
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:203-645-9485
Practice Address - Fax:617-732-5500
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA262279207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery