License holder summary

Jiaying Wen is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Jiaying Wen is Northeast Internal Medicine Inc., 126 Prospect St., Ste. 103, Pawtucket 02860. This licensed professional license is current. The license was granted 06/30/1999 and expired on 12/30/2017.

Massachusetts

Division of Professional Licensure

Jiaying Wen
Board Of Registration In Medicine
License number
160086
Date granted
06/30/1999
Date expires
12/30/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Northeast Internal Medicine Inc., 126 Prospect St., Ste. 103
licensingma.org
ID 41494909
LAST UPDATED 2024-03-29 08:08:04 UTC

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