| Organization Name: | LINDA WANG FAMILY MEDICAL CARE LLC |
| NPI Number: | 1902040926 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YUEHE WANG (PRESIDENT) |
| Mailing Address: | 1130 Route 202 Suite B3 Raritan |
| State: | NJ US |
| Postal Code: | 088691490 |
| Phone Number: | 9083936263 |
| Fax Number: | 9083936263 |
| NPI Enumeration Date: | 04/21/2009 |
| NPI Last Update Date: | 07/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MA080369 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |