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NPI Code Detail

MEDICARE: DR. ANGIE E WEN MD

MEDICARE:  DR. ANGIE E WEN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0120XCornea and External Diseases Specialist Physician243523NY
2207W00000XOphthalmology Physician243523-1NY

General Provider Information

NPI Number : 1114048642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGIE E WEN MD
Provider Business Mailing Address
First Line : 77 WORTH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-3411
Country : US
Telephone Number : 212-966-3901
Fax Number : 212-966-6295
Provider Business Practice Location Address
First Line : 77 WORTH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-3411
Country : US
Telephone Number : 212-966-3901
Fax Number : 212-966-6295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 03/27/2023

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Directions to “ DR. ANGIE E WEN MD” Practice Location

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