Individual
DR. JOHN C.L. WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 E 70TH ST, 2ND FLR., NEW YORK, NY 10021-4872
(212) 746-1578
(212) 746-8483
Mailing address
504 E 74TH ST STE 506, 5TH FLOOR, NEW YORK, NY 10021-3486
(212) 249-4061
(212) 249-4659
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
147032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00957424
—
NY
Enumeration date
09/29/2006
Last updated
07/08/2007
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