Individual
DR. DAJIE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 CRESCENT DR STE 100, PHILADELPHIA, PA 19112-1018
(215) 503-3300
(215) 503-3321
Mailing address
3 CRESCENT DR STE 100, PHILADELPHIA, PA 19112-1018
(215) 503-3300
(215) 503-3321
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD073425L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD073425L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001892726
—
PA
05
—
8802301
—
NJ
Enumeration date
07/19/2006
Last updated
11/09/2018
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