Individual
DR. HONGTAO ALEX WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1191 E HERNDON AVE STE 103, FRESNO, CA 93720-3164
(559) 794-2168
(559) 272-1387
Mailing address
1191 E HERNDON AVE STE 103, FRESNO, CA 93720-3164
(559) 794-2168
(559) 272-1387
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.172476
IL
208000000X
Pediatrics Physician
A168782
CA
2080P0206X
Pediatric Gastroenterology Physician
036.172476
IL
2080P0206X
Pediatric Gastroenterology Physician
Primary
A168782
CA
2080P0206X
Pediatric Gastroenterology Physician
R5678
TX
Other
Enumeration date
07/06/2011
Last updated
10/29/2024
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