Individual
KO-PEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 S HANOVER ST, SUITE G, BALTIMORE, MD 21225-1233
(410) 354-6330
Mailing address
3001 S HANOVER ST, SUITE G, BALTIMORE, MD 21225-1233
(410) 354-6330
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D0017035
MD
Other
Enumeration date
04/03/2006
Last updated
08/28/2012
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