| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELISABETH WANG | 1679950018 | 2024-01-07 |
Elisabeth Ziqing Wang [F] graduated in 2015 from Lincoln Memorial University Medical Department and primarily specializes in Family Medicine.
Elisabeth Wang is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679950018. Registration indicates Elisabeth Wang is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| PECOS ID | 1355678392 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Elisabeth Wang DO |
| Practice Office Address | 2001 LINCOLN WAY STE 290 WHITE OAK, PA US |
| Practice Office Telephone | 4122675969 |
| Mailing Address | 2001 LINCOLN WAY STE 290 WHITE OAK, PA 151312419 US |
| Business Telephone | 4122675969 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 500 Cherry St | Bluefield, WV 247013306 | 3048302028 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | OS023228
PA |