Wang, Jiaqiong

Wang, Jiaqiong is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is her primary health care specialty. Wang, Jiaqiong can be contacted via phone (215) 707-7237.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-7237
Fax: (215) 707-9389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X MD476775 Pennsylvania

Profile Details

NPI number 1215399613
LBN Legal business name Wang, Jiaqiong
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2016
Last updated Apr 26th, 2022 - about 3 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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