Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 094866 | OH |
N | 207L00000X | Anesthesiologist | L-228109 | MA |
N | 207L00000X | Anesthesiologist | MD4424444 | PA |
NPI | 1013112184 |
---|---|
Provider Name | Haibin Wang |
First Address | Greensburg, PA 15601-5385 |
Second Address | Meadville, PA 16335-2905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 14/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201279990 | (05) | IN |