Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 2005018616 | MO |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 442497 | PA |
NPI | 1073631313 |
---|---|
Provider Name | Dr. Eric Wesley Wang |
First Address | Pittsburgh, PA 15213 |
Second Address | Pittsburgh, PA 15213-2536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 28/07/2021 |