Individual
DANIEL WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 E 14TH ST, NEW YORK, NY 10003-4284
(212) 979-4000
Mailing address
1905 W TAYLOR ST, CHICAGO, IL 60612-3731
(212) 996-6660
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036156812
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
036156812
IL
Other
Enumeration date
03/24/2017
Last updated
12/28/2022
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