Provider Demographics
NPI:1134286693
Name:WANG-DOHLMAN, ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:WANG-DOHLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:AN-LIEN
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2000 WASHINGTON ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1650
Mailing Address - Country:US
Mailing Address - Phone:617-527-3440
Mailing Address - Fax:617-641-9947
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:SUITE 205
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1650
Practice Address - Country:US
Practice Address - Phone:617-527-3440
Practice Address - Fax:617-641-9947
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79655207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010028Medicaid
MA3131122Medicaid
RIAW26941Medicaid
RIAW26941Medicaid
NH30010028Medicaid