IVY SANG CO

BURLINGTON, MA
NPI1477058444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: MA  1020219)
Additional Taxonomies207L00000X Anesthesiology
(Licence: OH  34.016535)
Enumeration Date2018-03-29
Last Update Date2024-06-25
Business Address
IVY SANG CO DO
41 MALL RD
BURLINGTON, MA 01805-5612
Phone number: 781-744-8000
Mailing Address
IVY SANG CO DO
PROVIDER ENROLLMENT 41 MALL ROAD
BURLINGTON, MA 01805-0001
Phone number: