Individual
CLIFFORD CHIH-HAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, INTERNAL MEDICINE DEPT, SAN JOSE, CA 95128-2604
(408) 885-7744
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G77903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G779030
—
CA
Enumeration date
10/04/2006
Last updated
09/12/2007
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