| Doctor Name: | LOUIS WANG |
| NPI Number: | 1013008317 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 023241 |
| Business Practice Address: | 80 South Main Street Suite 102 Middletown, CT - 064573648 |
| Business Phone Number: | 8603441401 |
| Business Fax Number: | 8603471023 |
| Mailing Address: | 80 South Main Street, Suite 102 MIDDLETOWN |
| State: | CT |
| Postal Code: | 064573648 |
| Phone Number: | 8603441401 |
| Fax Number: | 8603471023 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 12/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | 023241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |