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Individual

DR. JESSICA WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5000
(718) 918-5000
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
208806
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02095123
NY
Enumeration date
06/15/2007
Last updated
10/18/2012
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