Healthcare Provider Details

I. General information

NPI: 1902638471
Provider Name (Legal Business Name): CHRISTOPHER BIN WANG PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BROADWAY ST BLDG 2465
BALTIMORE MD
21287-0019
US

IV. Provider business mailing address

3518 BANK ST APT 3
BALTIMORE MD
21224-2365
US

V. Phone/Fax

Practice location:
  • Phone: 410-502-4857
  • Fax:
Mailing address:
  • Phone: 919-455-0275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number29261
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: