Individual
DR. EDWARD SHANG JEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 525-5207
(707) 522-1524
Mailing address
2 CRYSTAL CREEK DR, LARKSPUR, CA 94939-1491
(415) 924-5125
(415) 924-5126
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A045359
CA
Other
Enumeration date
05/16/2006
Last updated
09/17/2008
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