Individual
JASON WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4791
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28047
NE
207L00000X
Anesthesiology Physician
Primary
MD478568
PA
Other
Enumeration date
06/18/2012
Last updated
07/20/2022
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