Wang, Brant G
Wang, Brant G is an individual health care provider with primary practice located at 2832 Juniper St , Fairfax VA 22031-4402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Wang, Brant G can be contacted via phone (703) 645-6190.Contact Information
Primary practice address
2832 Juniper St
Fairfax VA 22031-4402
Phone: (703) 645-6190
Fax: (703) 645-6136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | D0067139 | Maryland |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD037901 | District of Columbia |
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 0101248829 | Virginia |
Profile Details
| NPI number | 1124293873 |
|---|---|
| LBN Legal business name | Wang, Brant G |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Feb 13th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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