Basic Information
Provider Information
NPI: 1841473477
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEI
FirstName: HONG
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 55 FRUIT STREET
Address2: YAWKEY 2
City: BOSTON
State: MA
PostalCode: 02114
CountryCode: US
TelephoneNumber: 6177262000
FaxNumber:  
Practice Location
Address1: 55 FRUIT ST
Address2: YAWKEY 2
City: BOSTON
State: MA
PostalCode: 021142621
CountryCode: US
TelephoneNumber: 6177262000
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/05/2007
LastUpdateDate: 08/17/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA101358CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RR0500X240540MAY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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