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Individual

DR. FREDERICK MARK WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 E 40TH ST, SUITE 405, NEW YORK, NY 10016-1201
(212) 684-3980
(212) 684-0838
Mailing address
30 EAST 40TH STREET, NEW YORK, NY 10016
(212) 684-3980
(212) 684-0838

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
118515
NY

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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