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Individual

ROBERT S WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-0122
Mailing address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 707-3375
(215) 707-4758

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD477736
PA
390200000X
Student in an Organized Health Care Education/Training Program
4301112420
MI

Other

Enumeration date
05/17/2017
Last updated
03/04/2024
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