Individual
SIJIE JASON WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-7539
(860) 679-4477
(603) 227-7191
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
070663
CT
207R00000X
Internal Medicine Physician
18011
NH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
70663
CT
208M00000X
Hospitalist Physician
18011
NH
Other
Enumeration date
05/15/2014
Last updated
01/08/2025
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