Provider Demographics
NPI:1366781296
Name:HU-BIANCO, QING LINA (MD, MS)
Entity type:Individual
Prefix:DR
First Name:QING
Middle Name:LINA
Last Name:HU-BIANCO
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:QING
Other - Middle Name:LINA
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:185 PILGRIM ROAD
Mailing Address - Street 2:PALMER 614/WEST CAMPUS
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5324
Mailing Address - Country:US
Mailing Address - Phone:617-632-1020
Mailing Address - Fax:
Practice Address - Street 1:330 BROOKLINE AVE # SHAPIRO3
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5491
Practice Address - Country:US
Practice Address - Phone:617-632-1020
Practice Address - Fax:617-632-1019
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1016662208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery