Provider Demographics
NPI:1669037479
Name:WANG, ANGELA QU (MS)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:QU
Last Name:WANG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 S PENN SQUARE
Mailing Address - Street 2:SUITE 960
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3400
Mailing Address - Country:US
Mailing Address - Phone:215-873-2011
Mailing Address - Fax:
Practice Address - Street 1:1 S PENN SQ STE 960
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-3400
Practice Address - Country:US
Practice Address - Phone:585-200-2347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS