Individual
JIE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 662-4000
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301096592
MI
207RH0003X
Hematology & Oncology Physician
Primary
MD461257
PA
390200000X
Student in an Organized Health Care Education/Training Program
4301096592
MI
Other
Enumeration date
06/02/2010
Last updated
06/15/2018
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