Individual
WALTER Q WANG
Active
Individual
WALTER Q WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101234485
VA
207W00000X
Ophthalmology Physician
Primary
226224
MA
207W00000X
Ophthalmology Physician
D0068111
MD
207W00000X
Ophthalmology Physician
MD037768
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11518394
CAQH ID
—
Enumeration date
11/14/2005
Last updated
06/21/2011
Update your record
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