National Provider Identifier
Raphael P. Wang, M.D.
Raphael P. Wang, M.D. is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician in Williamsville, NY and a listed phone number of (716) 631-3510.
Profile Overview
- NPI
- 1306819529
- Provider Type
- Individual
- Primary Specialty
- Pediatric Adolescent Medicine Physician
- Enumeration Date
- February 08, 2006
- Last Updated
- July 30, 2010
Practice Location
- 2733 Wehrle Dr.
- Suite 100
- Williamsville, NY 14221
Phone: (716) 631-3510
Specialties
- Pediatric Adolescent Medicine Physician (2080A0000X)
Full Record
- NPI
- 1306819529
- Entity Type
- Individual
- Last Name
- Wang
- First Name
- Raphael
- Middle Name
- P.
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 2733 Wehrle Dr.
- Mailing Address Line 2
- Suite 100
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221
- Mailing Country
- US
- Mailing Phone
- (716) 631-3510
- Mailing Fax
- (716) 631-9627
- Practice Street Address
- 2733 Wehrle Dr.
- Practice Address Line 2
- Suite 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 631-3510
- Practice Fax
- (716) 631-9627
- Enumeration Date
- February 08, 2006
- Last Updated
- July 30, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Adolescent Medicine Physician (2080A0000X)
- Other Identifiers
- 01163588 (NY)