Provider Demographics
NPI:1790713907
Name:WANG, NORMAN CY (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:CY
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3200 N CENTRAL AVE
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2425
Mailing Address - Country:US
Mailing Address - Phone:602-406-3729
Mailing Address - Fax:602-798-9412
Practice Address - Street 1:500 W THOMAS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4224
Practice Address - Country:US
Practice Address - Phone:602-406-6262
Practice Address - Fax:602-406-6260
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
AZ331842084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ089953Medicaid