Individual
EMELIA J WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
Mailing address
9521 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87113-2237
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99144
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z5165
—
NM
Enumeration date
10/03/2006
Last updated
08/18/2022
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