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Contact Information

RAPHAEL P WANG, MD
2733 WEHRLE DR.
SUITE 100
WILLIAMSVILLE, NY14221
 Phone: 716-631-3510
 Fax: 716-631-9627
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RAPHAEL P WANG · (Male)

NPI Number 1306819529
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 07/30/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 178787-1
  • NY Medicaid 01163588
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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