Healthcare Provider Details

I. General information

NPI: 1578405726
Provider Name (Legal Business Name): TONGBO WANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N. WOLFE STREET JOHNS HOPKINS UNIVERSITY SCHOOL OF BLALOCK 658
BALTIMORE MD
21287
US

IV. Provider business mailing address

1800 ORLEANS STREET THE JOHNS HOPKINS HOSPITAL TOWER 110
BALTIMORE MD
21287
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-6797
  • Fax:
Mailing address:
  • Phone: 410-955-5020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: