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Individual
DR. LI JUAN WANG
Active
Individual
DR. LI JUAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD10437
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7009559
—
RI
Enumeration date
05/31/2006
Last updated
07/21/2014
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