Individual
JEAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
462 LAKEHURST RD STE A, TOMS RIVER, NJ 08755-6345
(732) 244-2706
(732) 244-2556
Mailing address
462 LAKEHURST RD STE A, TOMS RIVER, NJ 08755-6345
(732) 244-2706
(732) 244-2556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04378800
NJ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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