Basic Information
| Provider Information | |||||||||
| NPI: | 1063562726 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WANG | ||||||||
| FirstName: | WENLE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6 PRAIRIE LANDING CT | ||||||||
| Address2: | |||||||||
| City: | NORTH POTOMAC | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208784373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016332117 | ||||||||
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| Practice Location | |||||||||
| Address1: | THE JOHN HOPKINS HOSPITAL | ||||||||
| Address2: | 401 N. BROADWAY, WEINBERG BLDG SUIT 2242 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109553580 | ||||||||
| FaxNumber: | 4432873818 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/12/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | D64259 | MD | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.