Individual
DR. PENG ETHAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7675 WELLNESS WAY, WEST CHESTER, OH 45069-2509
(513) 475-7700
Mailing address
2830 VICTORY PARKWAY, PAYOR ENROLLMENT, CINCINNATI, OH 45206-1785
(513) 585-5507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34011186
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105815
—
OH
Enumeration date
06/30/2011
Last updated
07/16/2021
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