Individual
NANCY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 490-1222
(510) 498-2175
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
154529
CA
207Y00000X
Otolaryngology Physician
21112
NV
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
A154529
CA
Other
Enumeration date
04/23/2014
Last updated
01/10/2023
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