Basic Information
Provider Information
NPI: 1629373808
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WANG
FirstName: LING
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2023 POLO RUN DR
Address2:  
City: YARDLEY
State: PA
PostalCode: 190677261
CountryCode: US
TelephoneNumber: 7866835867
FaxNumber:  
Practice Location
Address1: 601 HAMILTON AVE
Address2:  
City: TRENTON
State: NJ
PostalCode: 086291915
CountryCode: US
TelephoneNumber: 6095995000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/19/2011
LastUpdateDate: 09/27/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X25MA09883100NJY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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