Provider Demographics
NPI:1154827418
Name:TRANSFORM ALLIANCE FOR HEALTH PLLC
Entity Type:Organization
Organization Name:TRANSFORM ALLIANCE FOR HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HUI-SHIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-332-0496
Mailing Address - Street 1:150 CALIFORNIA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1005
Mailing Address - Country:US
Mailing Address - Phone:617-332-0496
Mailing Address - Fax:
Practice Address - Street 1:150 CALIFORNIA ST STE 201
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1005
Practice Address - Country:US
Practice Address - Phone:617-332-0496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty