Individual
DENNIS S WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(240) 575-2526
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8812
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D46749
MD
2086S0102X
Surgical Critical Care Physician
MD21317
OR
2086S0102X
Surgical Critical Care Physician
MD432263
PA
2086S0127X
Trauma Surgery Physician
0101238702
VA
2086S0127X
Trauma Surgery Physician
28810
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271010
—
OR
05
—
807433600
—
ID
05
—
8453565
—
WA
Enumeration date
11/24/2006
Last updated
09/29/2020
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