Individual
DR. ELIZABETH WENQIAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7505 OSLER DR STE 407, TOWSON, MD 21204-7739
(410) 427-2588
(410) 427-2587
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D80639
MD
207RI0200X
Infectious Disease Physician
Primary
D80639
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029285590001
—
PA
Enumeration date
04/04/2011
Last updated
06/15/2020
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