Xinwen Wang

NPI 1194023572 - Physician Assistant - 363A00000X

NPI Details
NPI 1194023572
Gender Male
Enumeration Date 03/08/2011
Last Updated 12/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4160 MAIN ST STE 205B
FLUSHING NY, 11355-3800, US
Phone (718) 321-0381
Fax
Business Location
4160 MAIN ST STE 205B
FLUSHING NY, 11355-3800, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 014795
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According to our database, Xinwen Wang NPI is 1194023572, taxonomy code is 363A00000X and license number is 014795, license state is located at New York. Xinwen Wang physically located at 4160 Main St Ste 205b, Flushing NY, 11355-3800. NPI Number Xinwen Wang has the Individual type.

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1194023572 NPI number is provided on an as is basis without warranty of any kind. 1194023572 is maintained by the National Plan & Provider Enumeration System. The contents of Xinwen Wang are for informational purposes only.