# AIJUAN WANG MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053018374
- **Authorized official:** MRS. IRENA MUSHEEV HR (HUMAN RESOURCES DIRECTOR)
- **Authorized official phone:** (718) 350-5680

## Contact information

- **Practice address:** 228 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
- **Practice address phone:** (833) 424-4357
- **Mailing address:** 2 LINCOLN HWY STE 500, EDISON, NJ 08820-3961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2023
- **Last updated:** 02/08/2023