Provider Demographics
NPI:1851683023
Name:WANG, LIN-FAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LIN-FAN
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 1:610 LOUIS DR
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2828
Mailing Address - Country:US
Mailing Address - Phone:215-957-7980
Mailing Address - Fax:659-200-0206
Practice Address - Street 1:610 LOUIS DR
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2828
Practice Address - Country:US
Practice Address - Phone:215-957-7980
Practice Address - Fax:659-200-0206
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD452289207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine