| Leslie S T Fang, Md, Pc | |
|
151 Merrimac St 3rd Floor Boston MA 02114-4714 | |
| (617) 742-2054 | |
| (617) 742-3157 |
| Full Name | Leslie S T Fang, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 151 Merrimac St, Boston, Massachusetts |
| Authorized Official Name and Position | Leslie Shu Tung Fang (OWNER) |
| Authorized Official Contact | 6177422054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie S T Fang, Md, Pc 151 Merrimac St 3rd Floor Boston MA 02114-4714 Ph: (617) 742-2054 | Leslie S T Fang, Md, Pc 151 Merrimac St 3rd Floor Boston MA 02114-4714 Ph: (617) 742-2054 |
| NPI Number | 1871739649 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 12/30/2008 |
| Medicare PECOS PAC ID | 6103983507 |
|---|---|
| Medicare Enrollment ID | O20090331000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871739649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39471 (Massachusetts) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 39471 (Massachusetts) | Secondary |
| Provider Name | Leslie St Fang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558351734 PECOS PAC ID: 2567379225 Enrollment ID: I20040503000673 |
Rong J Guan, Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Kneeland St Fl 5, Boston, MA 02111 Phone: 617-290-9881 Fax: 617-350-6555 | |
Fenway Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 Boylston St, Boston, MA 02215 Phone: 617-927-4880 | |
Robert H. Wu. Md, Pc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Harrison Ave Ste 308, Boston, MA 02111 Phone: 617-338-9889 | |
Barbara Mcinnis House Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 Fax: 857-654-1100 | |
Pratt Medical Group, Inc - Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Box 1013, Boston, MA 02111 Phone: 617-636-5000 | |
Pjtrains Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Newbury St Ste 4, Boston, MA 02116 Phone: 857-205-2759 | |
Mhg Physician Services - Michigan Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Harrison Ave, Boston, MA 02118 Phone: 855-340-4663 |