Individual
ZICONG WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 TURNPIKE ST, NORTH ANDOVER, MA 01845-5806
(978) 837-5735
Mailing address
1 S UNION ST, LAWRENCE, MA 01843-1696
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
310792
MA
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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