Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 049426 | CT |
N | 111NI0900X | Internist | 049426 | CT |
N | 207RR0500X | Rheumatology | 049426 | CT |
Y | 208D00000X | General Practice Physician | 049426 | CT |
NPI | 1023253200 |
---|---|
Provider Name | Dr. Yousong Wang |
First Address | New Britain, CT 06051-3916 |
Second Address | New Britain, CT 06051-3916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2008 |
Last Update Date | 02/09/2014 |