Individual
DR. DOROTHY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 565-1000
(734) 763-9298
Mailing address
280 KIRK LN, MEDIA, PA 19063-2216
(215) 432-8475
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD445084
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027544690001
—
PA
Enumeration date
06/03/2008
Last updated
03/11/2017
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