Individual
LAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
97 W PARKWAY, POMPTON PLAINS, NJ 07444-1647
(973) 831-5046
(973) 831-5194
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
216751
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA07786900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045420
—
NJ
01
—
P00228873
RAILROAD MEDICARE
—
Enumeration date
11/15/2005
Last updated
08/03/2007
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