Individual provider · Type 1 NPI

Chien-Yi Maximilian PNG, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1730649880 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

2408 Sharon Oaks Dr
Menlo Park, CA 94025-6829

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730649880

Chien-Yi Maximilian PNG, MD's National Provider Identifier is 1730649880, issued on Mar 24, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 24, 2019.