Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jiarui Wang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639889157

Jiarui Wang is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022

Practice location Address checks out

179 Longwood Ave
Boston, MA 02115-5804
Phone: (628) 888-8964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PI168187 (MA)

Record details

NPI number1639889157
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 28, 2022
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023
Mailing addressPo Box 200930, Roxbury Crossing, MA 02120-0017

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