National Provider Identifier

Boru Wang, MD

Boru Wang, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 275-2723.

NPI 1164926572Rochester, NYSurgery Physician

Profile Overview

NPI
1164926572
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
March 20, 2018
Last Updated
October 31, 2025

Practice Location

  • 601 Elmwood Avenue Box Surg
  • Rochester, NY 14642-0001

Phone: (585) 275-2723

Specialties

  • Surgery Physician (208600000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1164926572
Entity Type
Individual
Last Name
Wang
First Name
Boru
Credential
MD
Mailing Street Address
601 Elmwood Avenue Box Surg
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-2723
Practice Street Address
601 Elmwood Avenue Box Surg
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2723
Enumeration Date
March 20, 2018
Last Updated
October 31, 2025
Sex
Male
Sole Proprietor
No
Certification Date
October 31, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X), Student in an Organized Health Care Education/Training Program (390200000X)