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NPI Code Detail

MEDICARE: DR. JAMES KUO CHANG WANG M.D.

MEDICARE:  DR. JAMES KUO CHANG WANG  M.D.
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
1207V00000XObstetrics & Gynecology Physician73513MA

General Provider Information

NPI Number : 1144226382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES KUO CHANG WANG M.D.
Provider Business Mailing Address
First Line : 280 CHESTNUT ST
Second Line : 2ND FLOOR
City : SPRINGFIELD
State : MA
Zip : 01199-1001
Country : US
Telephone Number : 413-794-5700
Fax Number :
Provider Business Practice Location Address
First Line : 3300 MAIN ST
Second Line : 4TH FLOOR, SUITE D
City : SPRINGFIELD
State : MA
Zip : 01107-1112
Country : US
Telephone Number : 413-794-7045
Fax Number : 413-794-7345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 01/12/2018

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