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Organization
WOLF RIDGE MEDICAL WELLNESS
Active
Organization
WOLF RIDGE MEDICAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TSANG MD (OWNER)
(401) 575-3534
Entity
Organization
Contact information
Practice address
100 NEW BROADWAY APT 404, RENSSELAER, NY 12144-2159
(401) 575-3534
Mailing address
100 NEW BROADWAY APT 404, RENSSELAER, NY 12144-2159
(401) 575-3534
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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