Organization
GREAT WALL MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANGJUN JANG MD, PHD (ATTENDING PHYSICIAN)
(718) 321-3962
Entity
Organization
Contact information
Practice address
14627 BEECH AVE # 1C, FLUSHING, NY 11355-2172
(718) 321-3962
(718) 321-3965
Mailing address
14627 BEECH AVE # 1C, FLUSHING, NY 11355-2172
(718) 321-3962
(718) 321-3965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
251295
NY
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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