Provider Demographics
NPI:1063985737
Name:METROPOLITAN REGENERATIVE AND REHABILITATION MEDICINE, PLLC
Entity type:Organization
Organization Name:METROPOLITAN REGENERATIVE AND REHABILITATION MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIAWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-705-2480
Mailing Address - Street 1:332 WASHINGTON ST STE 260
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-6204
Mailing Address - Country:US
Mailing Address - Phone:781-705-2480
Mailing Address - Fax:781-705-2443
Practice Address - Street 1:332 WASHINGTON ST STE 260
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-6204
Practice Address - Country:US
Practice Address - Phone:781-705-2480
Practice Address - Fax:781-705-2443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-06
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty