Doctor Name: | MS. WEIYA FANG |
NPI Number: | 1346683299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 38 Sunrise Dr Whippany, NJ - 079811103 |
Business Phone Number: | 8602125339 |
Business Fax Number: | |
Mailing Address: | 38 Sunrise Dr, WHIPPANY |
State: | NJ |
Postal Code: | 079811103 |
Phone Number: | 8602125339 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2013 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |