MEDICARE: YUJUAN WANG MD, PHD

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
1	207R00000X	Internal Medicine Physician	D0099245	MD

General Provider Information

NPI Number	:	1780261271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUJUAN WANG MD, PHD

Provider Business Mailing Address
First Line	:	9059 SHADY GROVE CT
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20877-1301
Country	:	US
Telephone Number	:	301-633-6644
Fax Number	:	240-301-2502

Provider Business Practice Location Address
First Line	:	9059 SHADY GROVE CT
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20877-1301
Country	:	US
Telephone Number	:	301-633-6644
Fax Number	:	240-301-2502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	03/25/2026

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