Individual
GLORIA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1595 BAILEY AVE, BUFFALO, NY 14212-2008
(716) 893-8550
(716) 893-4020
Mailing address
1595 BAILEY AVE, BUFFALO, NY 14212-2008
(716) 893-8550
(716) 893-4020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
189620
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020520303
UNIVERA
NY
01
—
000523591005
BLUE CROSS OF WNY
NY
01
—
000523591006
BLUE CROSS
NY
01
—
080911000044
FIDELIS
NY
01
—
1206881
INDEPENDENT HEALTH
NY
Enumeration date
07/11/2006
Last updated
11/14/2008
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