Wang, Gregory

Wang, Gregory is an individual health care provider with primary practice located at 13135 Lee Jackson Memorial Hwy #135, Fairfax VA 22033-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wang, Gregory can be contacted via phone (703) 961-0488.

Contact Information

Primary practice address
13135 Lee Jackson Memorial Hwy #135 Fairfax VA 22033-1907
Phone: (703) 961-0488
Fax: (703) 961-9103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101242854 Virginia

Profile Details

NPI number 1871778068
LBN Legal business name Wang, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Aug 11th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871778068 NPPES
Virginia MEDICAID 1871778068

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