Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | OS014448 | FL |
N | 207RH0003X | Hematology & Oncology | OS016868 | PA |
NPI | 1023332566 |
---|---|
Provider Name | Dr. Trent Peng Wang |
First Address | Miami, FL 33136-1002 |
Second Address | Miami, FL 33136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2010 |
Last Update Date | 25/06/2018 |