Provider Demographics
NPI:1720215312
Name:WANG, JUE TERESA (MD)
Entity Type:Individual
Prefix:DR
First Name:JUE
Middle Name:TERESA
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY, BADER 3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-6457
Mailing Address - Fax:617-730-0892
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY, BADER 3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-6457
Practice Address - Fax:617-730-0892
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2014-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA254463207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology