Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 223458 | NY |
Y | 207VE0102X | Reproductive Endocrinologist | 50428 | CT |
NPI | 1225258338 |
---|---|
Provider Name | Jeff G Wang |
First Address | New York, NY 10024-6480 |
Second Address | Greenwich, CT 06830-6877 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2007 |
Last Update Date | 06/01/2021 |