Individual
MR. EDWARD WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 N JACKSON AVE STE 206, SAN JOSE, CA 95116-1909
(669) 214-2599
(669) 214-2766
Mailing address
1091 HIDDEN OAKS DR, BULVERDE, TX 78163-3050
(707) 446-9393
(707) 455-6037
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G54057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G540570
—
CA
Enumeration date
05/23/2006
Last updated
07/06/2020
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