Organization
INTEGRATIVE MEDICINE & VIRTUALCARE PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENG ETHAN WANG DO (INTERNIST/OWNER)
(614) 653-7351
Entity
Organization
Contact information
Practice address
5212A KINGS MILLS RD # 529, MASON, OH 45040-2319
(614) 653-7351
Mailing address
4234 MARBLE RIDGE LN, MASON, OH 45040-2175
(614) 653-7351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/07/2019
Last updated
09/25/2020
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