Individual
DR. GRACE JEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 615-4949
(215) 243-4649
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 615-4949
(215) 243-4649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD431585
PA
2086S0129X
Vascular Surgery Physician
Primary
MD431585
PA
Other
Enumeration date
11/07/2005
Last updated
10/22/2019
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