Provider Demographics
NPI:1750341103
Name:DING, DAWN XIAOHONG (MD)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:XIAOHONG
Last Name:DING
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 1:37 BOOTH ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1403
Mailing Address - Country:US
Mailing Address - Phone:781-449-2446
Mailing Address - Fax:
Practice Address - Street 1:83 SPEEN ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-4168
Practice Address - Country:US
Practice Address - Phone:508-907-6655
Practice Address - Fax:508-651-1494
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215724174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ26852OtherBLUE CROSS BLUE SHIELD
MAAA1992OtherHARVARD PILGRIM
MA0300837OtherUNITED HEALTHCARE
MA7139483OtherAETNA HEALTHCARE
MA467316OtherTUFTS HEALTHCARE
MA80690OtherFALLON COMMUNITY HEALTH
MA80690OtherFALLON COMMUNITY HEALTH
MA467316OtherTUFTS HEALTHCARE