Provider Demographics
NPI:1881903755
Name:JANG, WUUFANG
Entity type:Individual
Prefix:
First Name:WUUFANG
Middle Name:
Last Name:JANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 GLASTONBURY LN
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4934
Mailing Address - Country:US
Mailing Address - Phone:732-713-4088
Mailing Address - Fax:732-412-1154
Practice Address - Street 1:550 UNION AVE STE 7
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-1949
Practice Address - Country:US
Practice Address - Phone:732-412-1154
Practice Address - Fax:732-412-1154
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00076200171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist