IndividualActive
Jack Wang, MD, PHD.
NPI 1154733053 · Neurocritical Care Physician · Stanford, CA
Provider details
- NPI number
- 1154733053
- Entity type
- Individual
- Primary specialty
- Neurocritical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD.
- Sex
- Male
- Sole proprietor
- No
- License
- A143065 (CA)
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Registry dates
- Enumerated
- 2014-05-27
- Last updated
- 2023-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.