Provider Demographics
NPI:1013149764
Name:WANG, ZHUO (MD)
Entity Type:Individual
Prefix:
First Name:ZHUO
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1020 FRANKLIN ST
Mailing Address - Street 2:GS1252
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4109
Mailing Address - Country:US
Mailing Address - Phone:814-534-1624
Mailing Address - Fax:814-534-1635
Practice Address - Street 1:1020 FRANKLIN ST
Practice Address - Street 2:GS1252
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4109
Practice Address - Country:US
Practice Address - Phone:814-534-1624
Practice Address - Fax:814-534-1635
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT194895207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology