Individual
JACK WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1 NARDONE PL, JERSEY CITY, NJ 07306-3514
(201) 792-3840
Mailing address
PO BOX 52402, PHOENIX, AZ 85072-2402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02232900
NJ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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