Individual
ERIC X WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4168 HOLIDAY ST NW, CANTON, OH 44718-2532
(330) 454-1693
(330) 454-1683
Mailing address
4168 HOLIDAY ST NW, CANTON, OH 44718-2532
(330) 454-1693
(330) 454-1683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-07-4148W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329691
ANTHEM
OH
05
—
2075187
—
OH
Enumeration date
04/26/2006
Last updated
09/14/2012
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