Individual
CHARLES WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA06195500
NJ
207W00000X
Ophthalmology Physician
Primary
C10002450
DE
207W00000X
Ophthalmology Physician
MD023090E
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
C10002450
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000187901
—
DE
05
—
001877748
—
PA
01
—
0105492000
INDEPENDENCE BCBS
DE
01
—
2116353
MAMSI OPTIMUM CHOICE
DE
05
—
3004902
—
NJ
01
—
D01194
MID ATLANTIC
DE
Enumeration date
07/28/2006
Last updated
02/09/2024
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