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Individual

MARK LY WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
825 OLD LANCASTER RD STE 100, BRYN MAWR, PA 19010-3234
(267) 339-3558
(267) 339-3763
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999
(267) 339-3761

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A97865
CA
207XS0106X
Orthopaedic Hand Surgery Physician
25MA08750000
NJ
207XS0106X
Orthopaedic Hand Surgery Physician
307138
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD439395
PA
207XS0106X
Orthopaedic Hand Surgery Physician
ME152694
FL

Other

Enumeration date
08/19/2008
Last updated
03/14/2022
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