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Organization

PREMIUMCBT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WEI WANG MD (OWNER/MD)
(917) 682-4300
Entity
Organization

Contact information

Practice address
35 W HUDSON AVE, ENGLEWOOD, NJ 07631-1718
(201) 408-4487
(800) 352-3015
Mailing address
35 W HUDSON AVE, ENGLEWOOD, NJ 07631-1718
(201) 408-4487
(800) 352-3015

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/11/2020
Last updated
01/07/2021
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