| NPI Details | |
|---|---|
| NPI | 1376962639 |
| Gender | Male |
| Enumeration Date | 04/15/2014 |
| Last Updated | 04/15/2014 |
| Entity Type | Individual |
| Active | Over 4 years ago |
| Practice Location | |
|---|---|
| 114 WOODLAND ST HARTFORD CT, 06105-1208, US |
|
| Phone | (860) 714-4532 |
| Fax | |
| Business Location | |
|---|---|
| 114 WOODLAND ST HARTFORD CT, 06105-1208, US |
|
| Phone | (860) 714-4532 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 390200000X |
| License State | |
| License Number | |
| Remove 1376962639 NPI Number | |
According to our database, Xuan Wang NPI is 1376962639, taxonomy code is 390200000X Xuan Wang physically located at 114 Woodland St, Hartford CT, 06105-1208. NPI Number Xuan Wang has the Individual type.
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1376962639 NPI number is provided on an as is basis without warranty of any kind. 1376962639 is maintained by the National Plan & Provider Enumeration System. The contents of Xuan Wang are for informational purposes only.
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