Organization
BENJAMIN N. WAN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN WAN M.D. (PRESIDENT)
(415) 665-6100
Entity
Organization
Contact information
Practice address
595 BUCKINGHAM WAY, SUITE 500, SAN FRANCISCO, CA 94132-1909
(415) 665-6100
(415) 665-6101
Mailing address
595 BUCKINGHAM WAY, SUITE 500, SAN FRANCISCO, CA 94132-1909
(415) 665-6100
(415) 665-6101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A92050
CA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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