Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 009951 | CT |
N | 122300000X | Dentist | 22D102391800 | NJ |
N | 1223D0001X | Dental Public Health | 009951 | CT |
Y | 1223G0001X | General Practice | 009951 | CT |
Y | 213EG0000X | General Practice | 009951 | CT |
N | 1223G0001X | General Practice | 14767 | MD |
N | 213EG0000X | General Practice | 14767 | MD |
NPI | 1609011998 |
---|---|
Provider Name | Jane G. Whang |
First Address | Hanover, MD 21076-1729 |
Second Address | Hartford, CT 06120-2357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2008 |
Last Update Date | 03/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1609011998 | (05) | MD |