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1871947051
YONGTAO WANG
CHEVERLY, MD
NPI
1871947051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C06093)
Enumeration Date
2016-04-14
Last Update Date
2016-04-14
Business Address
-- YONGTAO WANG
3001 HOSPITAL DR
CHEVERLY, MD 20785-1189
Phone number: 301-618-2000
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Mailing Address
-- YONGTAO WANG
10617 VISTA RD
COLUMBIA, MD 21044-4221
Phone number: 713-367-6784
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