Individual
TIMOTHY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
Mailing address
700 BARNESLEY LN, ALPHARETTA, GA 30022-3767
(404) 401-1369
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.133944
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD61140500
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
04/19/2021
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