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Individual

DR. JIA WENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 682-6466
(914) 681-5222
Mailing address
800 WESTCHESTER AVE STE N715, RYE BROOK, NY 10573-1369
(914) 607-5730
(914) 457-1195

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MB11160300
NJ
207L00000X
Anesthesiology Physician
Primary
318232
NY

Other

Enumeration date
10/21/2017
Last updated
06/05/2023
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