Individual
BENJAMIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5230
Mailing address
660 1ST AVE FL 3, NEW YORK, NY 10016-3295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT204258
PA
2085R0202X
Diagnostic Radiology Physician
258147
MA
2085R0202X
Diagnostic Radiology Physician
Primary
297103
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2013
Last updated
05/21/2021
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