Individual
DR. ROBERT T WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G40989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38000043
RAILROAD MCR
CA
05
—
9745630
—
CA
01
—
GR0079630
MEDICAL GRP NUMBER
CA
Enumeration date
12/20/2006
Last updated
07/08/2007
Update your record
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