Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35.089536 | OH |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME101341 | FL |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 35.089536 | OH |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | ME101341 | FL |
NPI | 1043488661 |
---|---|
Provider Name | Dr. Huijian James Wang |
First Address | Port Orange, FL 32129-1427 |
Second Address | Daytona Beach, FL 32117-5170 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2008 |
Last Update Date | 29/08/2020 |