Provider Demographics
NPI:1912954611
Name:LIAW, WILLIAM C (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:LIAW
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:40 WALNUT STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-2102
Mailing Address - Country:US
Mailing Address - Phone:781-943-3000
Mailing Address - Fax:781-943-3037
Practice Address - Street 1:40 WALNUT ST STE 102
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-2175
Practice Address - Country:US
Practice Address - Phone:781-943-3000
Practice Address - Fax:781-943-3001
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA154021207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAG50920Medicare UPIN
MACX9723Medicare PIN