Individual
DR. RAPHAEL P. WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2733 WEHRLE DR., SUITE 100, WILLIAMSVILLE, NY 14221
(716) 631-3510
(716) 631-9627
Mailing address
2733 WEHRLE DR., SUITE 100, WILLIAMSVILLE, NY 14221
(716) 631-3510
(716) 631-9627
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
178787-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01163588
—
NY
Enumeration date
02/08/2006
Last updated
07/30/2010
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