Individual
CINDY WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4905 W TILGHMAN ST, SUITE 250, ALLENTOWN, PA 18104-9130
(484) 866-9583
(610) 366-1147
Mailing address
4905 W TILGHMAN ST, SUITE 250, ALLENTOWN, PA 18104-9130
(484) 866-9583
(610) 366-1147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD431399
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213089
UNISON
PA
05
—
1019018370001
—
PA
01
—
1957822
HIGHMARK
PA
01
—
20062975
AMERIHEALTH MERCY
PA
01
—
2849067000
IBC
PA
01
—
30042524
KEYSTONE MERCY
PA
01
—
50070438
CAPITAL ADVANTAGE
PA
Enumeration date
12/14/2006
Last updated
02/27/2014
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