Individual
DR. JIAN WANG
Active
Individual
DR. JIAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M5568
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
25MA08379000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186598202
—
TX
05
—
K3204660
—
TX
Enumeration date
12/13/2006
Last updated
09/17/2008
Update your record
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