Individual
BETTY YU-WAH WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6190 GEORGETOWN BLVD, ELDERSBURG, MD 21784-6460
(410) 552-5050
(410) 552-0200
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-1133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H0064261
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136000ZDZ4
MEDICARE RENDERING # FOR WANGMED
MD
01
—
416352400
MEDICAL ASSISTANCE
MD
01
—
88493004
CAREFIRST
MD
01
—
H5960322
MEDICARE RENDERING # FOR CLINICAL ASSOCIATES, P.A.
MD
01
—
P00725599
RAILROAD MEDICARE
GA
01
—
P424 0001
CAREFIRST
DC
Enumeration date
07/19/2006
Last updated
10/16/2009
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