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Individual

DR. PAUL X WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
235 PROSPECT AVE, SUITE LD, HACKENSACK, NJ 07601-2510
(201) 343-4250
(201) 343-7779
Mailing address
235 PROSPECT AVE, SUITE LD, HACKENSACK, NJ 07601-2510
(201) 343-4250
(201) 343-7779

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA070019
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0063479
NJ
Enumeration date
07/12/2006
Last updated
07/08/2007
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