Individual
DR. JEN TIEN WUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9878
(212) 305-8980
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9878
(212) 305-8980
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
111954
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
111954
NY
Other
Enumeration date
09/26/2006
Last updated
02/24/2020
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