Individual
DR. KENNETH C. WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
600 N WOLFE ST, DEPT. RADIOLOGY, BLALOCK 100, BALTIMORE, MD 21287-0005
(410) 955-6500
(443) 287-3622
Mailing address
600 N WOLFE ST, DEPT. RADIOLOGY, BLALOCK 100, BALTIMORE, MD 21287-0005
(410) 955-6500
(443) 287-3622
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0065047
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022617300
—
MD
Enumeration date
02/01/2007
Last updated
08/05/2009
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