Individual
TEJI WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 PENNSYLVANIA AVE # 1C44-45, PHILADELPHIA, PA 19130-3010
(215) 222-0310
Mailing address
2401 PENNSYLVANIA AVE # 1C44-45, PHILADELPHIA, PA 19130-3010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030747
PA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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