San Wan, Mdpc

LBN: San Wan, Mdpc
San Wan, Mdpc is an health care organization with primary practice located at 340 Wood Rd , Braintree MA 02184-2401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. San Wan, Mdpc can be contacted via phone (781) 849-1111, or through Wan, San via phone (781) 647-9863.

Contact Information

Primary practice address
340 Wood Rd Braintree MA 02184-2401
Phone: (781) 849-1111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wan, San Doctor of Medicine (MD)
Phone: (781) 647-9863

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1699748541
LBN Legal business name San Wan, Mdpc
DBA Doing business as
Authorized official Wan, San Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699748541 NPPES
Massachusetts MEDICAID 9737812
Massachusetts Other M13923

Popular Providers