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Individual

CONG WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 COLUMBIA DR, SUITE: A-327, TAMPA, FL 33606-3508
(813) 844-4434
(813) 844-8458
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME90325
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50170
FL BCBS
FL
01
P00230761
MEDICARE RAILROAD
FL
Enumeration date
05/23/2006
Last updated
04/10/2008
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