Most Relevant Information
Provider Data
| NPI Number: | 1003288572 |
| Provider Name: | CLAIRE WAN |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/23/2015 |
| Last Updated: | 10/23/2015 |
Provider Practice Location
57 MONTROSE ST # 1
SOMERVILLE
MA
021431212
Practice Location Phone/Fax
| Phone: | 4045787843 |
| Fax: |
Provider Mailing Location
57 MONTROSE ST # 1
SOMERVILLE
MA
021431212
Provider Mailing Phone/Fax
| Phone: | 4045787843 |
| Fax: |