Individual
BENNY Y WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 SCENERY DRIVE, STATE COLLEGE, PA 16801
(814) 272-5011
Mailing address
200 SCENERY DRIVE, STATE COLLEGE, PA 16801
(814) 272-5011
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M5970
TX
207L00000X
Anesthesiology Physician
Primary
MD60018387
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237672
L & I
WA
05
—
8515082
—
WA
01
—
8947904
CRIME VICTIMS
WA
Enumeration date
05/23/2007
Last updated
04/08/2014
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