Provider Demographics
NPI:1659533255
Name:WANG, XIAO-QING (MD)
Entity Type:Individual
Prefix:
First Name:XIAO-QING
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 QUEEN CITY AVE
Mailing Address - Street 2:ELLIOT NEUROLOGY
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-7121
Mailing Address - Country:US
Mailing Address - Phone:603-669-0859
Mailing Address - Fax:603-644-3391
Practice Address - Street 1:185 QUEEN CITY AVE
Practice Address - Street 2:ELLIOT NEUROLOGY
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-7121
Practice Address - Country:US
Practice Address - Phone:603-669-0859
Practice Address - Fax:603-644-3391
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RILP0145207R00000X
RIMD139862084N0400X
NH162462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine