Provider Demographics
NPI:1639348733
Name:WANG, JING (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JING
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 FORT WASHINGTON AVENUE, GN446
Mailing Address - Street 2:DEPT OF ANESTHESIOLOGY, COLUMBIA UNIV MEDICAL CTR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-6494
Mailing Address - Fax:212-305-2182
Practice Address - Street 1:177 FORT WASHINGTON AVENUE, GN446
Practice Address - Street 2:DEPT OF ANESTHESIOLOGY, COLUMBIA UNIV MEDICAL CTR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-6494
Practice Address - Fax:212-305-2182
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239358207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology