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NPI Code Detail

MEDICARE: CHARIS EMILY WANG

MEDICARE: CHARIS EMILY WANG
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1487457404
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARIS EMILY WANG
Provider Business Mailing Address
First Line : 330 MOUNT AUBURN ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-5597
Country : US
Telephone Number : 617-441-1610
Fax Number : 617-499-5193
Provider Business Practice Location Address
First Line : 3595 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3440
Country : US
Telephone Number : 614-566-5456
Fax Number : 614-566-6902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2025
Last Update Date : 06/06/2026

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Directions to “ CHARIS EMILY WANG ” Practice Location

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