Provider Demographics
NPI:1619984093
Name:WANG, SHENG (LAC)
Entity Type:Individual
Prefix:
First Name:SHENG
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10110 MOLECULAR DR STE 214
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7542
Mailing Address - Country:US
Mailing Address - Phone:301-838-0559
Mailing Address - Fax:866-874-9939
Practice Address - Street 1:10110 MOLECULAR DR STE 214
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7542
Practice Address - Country:US
Practice Address - Phone:301-838-0559
Practice Address - Fax:866-874-9939
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00677171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist