Individual
PHILIP TAIWEI WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5800
Mailing address
811 NEW YORK AVE RM 402, BROOKLYN, NY 11203-2720
(585) 353-3556
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32022901
NY
Other
Enumeration date
03/27/2019
Last updated
07/31/2024
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