Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 11091 | WV |
NPI | 1073508784 |
---|---|
Provider Name | Hsinn-Hong Wang |
First Address | Wheeling, WV 26003-6391 |
Second Address | Wheeling, WV 26003-6391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 09/10/2012 |