Individual
WEITAO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 ELMWOOD AVE BOX 629, ROCHESTER, NY 14642-8629
(585) 276-5181
(585) 271-8552
Mailing address
601 ELMWOOD AVE BOX 629, ROCHESTER, NY 14642-8629
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
305681
NY
207Y00000X
Otolaryngology Physician
Primary
R9164
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2014
Last updated
04/28/2023
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