Organization
ADVANCED REHAB SPECIALIST. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIA WANG MD (MD)
(267) 980-4622
Entity
Organization
Contact information
Practice address
240 MIDDLETOWN BLVD, SUITE 201, LANGHORNE, PA 19047-1832
(267) 980-4622
(215) 355-4315
Mailing address
240 MIDDLETOWN BLVD, SUITE 201, LANGHORNE, PA 19047-1832
(267) 980-4622
(215) 355-4315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD418474
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1119123
AETNA
PA
01
—
17116
BRAVO
PA
01
—
2620137000
INDEPENDENCE BLUE CROSS
PA
01
—
AD1781750
HIGHMARK
PA
Enumeration date
12/19/2006
Last updated
01/18/2008
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