IndividualActive
Jiaqiong Wang
NPI 1215399613 · Nuclear Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1215399613
- Entity type
- Individual
- Primary specialty
- Nuclear Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-7237
Fax: (215) 707-9389
Approximate (ZIP-level) locationGet directions
Mailing address
3500 N Broad St Rm 1a
Philadelphia, PA 19140-4106
Additional practice locations (1)
- 1611 Nw 12th AveMiami, FL 33136-1005Phone: (804) 625-9555
Registry dates
- Enumerated
- 2016-03-24
- Last updated
- 2022-04-26
- Certified
- 2022-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.