Provider Demographics
NPI:1134240666
Name:WANG, ADAM B (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:B
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7088 CAMINO DEGRAZIA
Mailing Address - Street 2:UNIT 251
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-7827
Mailing Address - Country:US
Mailing Address - Phone:415-640-3557
Mailing Address - Fax:
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9000
Practice Address - Country:US
Practice Address - Phone:619-543-2931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA901972085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology