Individual
JOHN K WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E. MARSHALL ST, WEST CHESTER, PA 19380
(610) 431-5262
(302) 366-1240
Mailing address
701 E. MARSHALL ST, WEST CHESTER, PA 19380
(610) 431-5262
(302) 366-1240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD430301
PA
207RP1001X
Pulmonary Disease Physician
C10006344
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001190201
—
DE
01
—
1390191
INDEPENDENCE BCBS
—
01
—
176717
COVENTRY
—
01
—
2079589000
AMERIHEALTH/KEYSTONE
—
01
—
230008
MAMSI
—
01
—
2486924001
CIGNA
—
01
—
2846278
AETNA/USHC
—
01
—
58685590
TRICARE
—
01
—
61500301
CAREFIRST BCBS
MD
Enumeration date
05/18/2006
Last updated
03/21/2014
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