Provider Demographics
NPI:1265682819
Name:WANG, TONY JAU CHENG (MD)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:JAU CHENG
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:BNH B-11
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-9097
Mailing Address - Fax:212-342-0637
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:BNH B-11
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-9097
Practice Address - Fax:212-342-0637
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2023-04-19
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Provider Licenses
StateLicense IDTaxonomies
NY2496612085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY249661OtherLICENSE