Individual
DR. GERALD JEH WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Mailing address
56-45 MAIN STREET, W-LL300, FLUSHING, NY 11355-5045
(718) 303-3720
(718) 939-1167
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
235036
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03166878
—
NY
Enumeration date
05/17/2008
Last updated
12/03/2015
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