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NPI Code Detail

MEDICARE: DR. LING JIE WANG M.D.

MEDICARE: DR. LING JIE 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
1207R00000XInternal Medicine Physician327566-01NY

General Provider Information

NPI Number : 1881213528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LING JIE WANG M.D.
Provider Business Mailing Address
First Line : 207 FOOTE AVE
Second Line :
City : JAMESTOWN
State : NY
Zip : 14701-7077
Country : US
Telephone Number : 716-485-7949
Fax Number : 716-664-8195
Provider Business Practice Location Address
First Line : 207 FOOTE AVE
Second Line :
City : JAMESTOWN
State : NY
Zip : 14701-7077
Country : US
Telephone Number : 716-485-7949
Fax Number : 716-664-8195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2020
Last Update Date : 05/26/2026

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