Individual
JESSICA SUI WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, DEPT OF PLASTIC SURGERY, WASHINGTON, DC 20007-2113
(202) 444-1233
Mailing address
1719 CHESTERBROOK VALE CT, MC LEAN, VA 22101-3244
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MTL004038
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
06/16/2023
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