Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00669200 | NJ |
N | 111N00000X | Chiropractor | 9484 | TX |
N | 111N00000X | Chiropractor | X011579 | NY |
NPI | 1013023415 |
---|---|
Provider Name | Dr. Amana Wang |
First Address | Parsippany, NJ 07054-3113 |
Second Address | Bergenfield, NJ 07621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 03/02/2010 |