| Jonathan Wang Do Llc | |
|
290 Madison Ave Suite 2a Morristown NJ 07960-7400 | |
| (973) 285-1999 | |
| (973) 359-8979 |
| Full Name | Jonathan Wang Do Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 290 Madison Ave, Morristown, New Jersey |
| Authorized Official Name and Position | Jonathan Wang (DIRECTOR) |
| Authorized Official Contact | 9732851999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Wang Do Llc 290 Madison Ave Suite 2a Morristown NJ 07960-7400 Ph: (973) 285-1999 | Jonathan Wang Do Llc 290 Madison Ave Suite 2a Morristown NJ 07960-7400 Ph: (973) 285-1999 |
| NPI Number | 1841592433 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 6305035718 |
|---|---|
| Medicare Enrollment ID | O20110114000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841592433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MB05714800 (New Jersey) | Primary |
| Provider Name | Jonathan Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467580142 PECOS PAC ID: 0648469064 Enrollment ID: I20110118000543 |
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