Individual
YIZE RICHARD WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 FELLOWSHIP RD, SUITE 101, MOUNT LAUREL, NJ 08054-3419
(856) 642-2133
(856) 642-2134
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA09087900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001201800
—
FL
Enumeration date
07/26/2008
Last updated
04/16/2019
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