Individual
JIASEN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8316 KASEMAN CT NE, ALBUQUERQUE, NM 87110-7639
(505) 292-5850
Mailing address
7300 RANCH RD. 2222, BLDG 1, STE 200, AUSTIN, TX 78730-3255
(512) 628-0465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A186212
CA
207N00000X
Dermatology Physician
Primary
MD2023-1076
NM
Other
Enumeration date
04/18/2019
Last updated
09/01/2023
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