Individual
JASON WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8000
Mailing address
PO BOX 200694, PITTSBURGH, PA 15251-0694
(833) 324-6904
(302) 440-5783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04756
RI
2085R0202X
Diagnostic Radiology Physician
Primary
311110
NY
Other
Enumeration date
06/27/2019
Last updated
02/13/2026
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