Provider Demographics
NPI:1508842634
Name:SANG, DELIA NAI-YUEH (MD)
Entity Type:Individual
Prefix:DR
First Name:DELIA
Middle Name:NAI-YUEH
Last Name:SANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 BEACON ST
Mailing Address - Street 2:SUITE 3E
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5587
Mailing Address - Country:US
Mailing Address - Phone:617-731-1760
Mailing Address - Fax:617-731-0610
Practice Address - Street 1:1101 BEACON ST
Practice Address - Street 2:SUITE 3-E
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5587
Practice Address - Country:US
Practice Address - Phone:617-731-1760
Practice Address - Fax:617-731-0610
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47248207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA704007OtherTUFTS HEALTH PLAN
MA110006945AMedicaid
MAE05601OtherBCBS MA
MA704007OtherTUFTS HEALTH PLAN
MA110006945AMedicaid