Healthcare Provider Details

I. General information

NPI: 1154581700
Provider Name (Legal Business Name): RUNSHENG WANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1767 MORRIS AVE STE 213
UNION NJ
07083-3511
US

IV. Provider business mailing address

PO BOX K
SHORT HILLS NJ
07078-0389
US

V. Phone/Fax

Practice location:
  • Phone: 908-977-1677
  • Fax:
Mailing address:
  • Phone: 908-977-1677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number25MA09735300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: