Individual
JUSTIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8665
Mailing address
237 SHADOW GLEN CT, GAITHERSBURG, MD 20878-7417
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
316116
NY
207P00000X
Emergency Medicine Physician
Primary
D0097766
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2019
Last updated
07/21/2025
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