Individual
DR. JUN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
134 HOMER AVE, CORTLAND, NY 13045
(607) 756-3622
(607) 756-3636
Mailing address
4567 CROSSROADS PARK DR., LIVERPOOL, NY 13088
(315) 295-2100
(315) 295-2125
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
238471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02893685
—
NY
Enumeration date
05/01/2007
Last updated
01/13/2009
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