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1508191164
JACK CHENGJIE WANG
BETHESDA, MD
NPI
1508191164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-10-14
Last Update Date
2009-10-14
Business Address
Dr. JACK CHENGJIE WANG D.O.
8901 WISCONSIN AVE
BETHESDA, MD 20889-5600
Phone number: 301-319-8361
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Mailing Address
Dr. JACK CHENGJIE WANG D.O.
9936 MAYFIELD DR
BETHESDA, MD 20817-1652
Phone number: 813-753-9235
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