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Individual

YONGTAO WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(301) 618-2000
Mailing address
10617 VISTA RD, COLUMBIA, MD 21044-4221
(713) 367-6784

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06093
MD

Other

Enumeration date
04/14/2016
Last updated
04/14/2016
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