Individual ProviderSophie WangStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address600 N Wolfe St, Baltimore, MD 21287(410) 955-5000(617) 667-7000PECOS EnrollmentBased on the most recent information from CMS, provider Sophie Wang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467817890Provider TypeIndividualFull NameWang, SophieGenderFemaleSole ProprietorNoEnumeration Date12/30/2015Last Updated6/23/2018Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287Phone(410) 955-5000FaxUnlisted FaxMailing LocationMailing Address110 Francis St Ste 9b, Boston, MA 02215-5501Phone(617) 667-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID276567DescriptionOtherIssuerLICENSEMassachusetts