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Individual

LONG QIN WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 796-2255
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10889810
NJ

Other

Enumeration date
03/29/2017
Last updated
02/04/2021
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