Provider Demographics
NPI:1669549903
Name:WANG, YUE HE (MD)
Entity type:Individual
Prefix:
First Name:YUE HE
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 1:1130 ROUTE 202
Mailing Address - Street 2:UNIT B3
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1490
Mailing Address - Country:US
Mailing Address - Phone:908-393-6263
Mailing Address - Fax:908-393-6263
Practice Address - Street 1:1130 ROUTE 202
Practice Address - Street 2:UNIT B3
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1490
Practice Address - Country:US
Practice Address - Phone:908-393-6263
Practice Address - Fax:908-393-6263
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08036900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0149829Medicaid
NJ110698A02Medicare PIN
NJ110698VHTMedicare PIN
NJ110698Medicare PIN