Wang, Li Juan

Wang, Li Juan is an individual health care provider with primary practice located at 593 Eddy St Department Of Pathology Apc-12, Providence RI 02903-4923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Wang, Li Juan can be contacted via phone (401) 444-2517.

Contact Information

Primary practice address
593 Eddy St Department Of Pathology Apc-12 Providence RI 02903-4923
Phone: (401) 444-2517
Fax: (401) 444-8514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD10437 Rhode Island

Profile Details

NPI number 1649217803
LBN Legal business name Wang, Li Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 21st, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649217803 NPPES
Rhode Island MEDICAID 7009559

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