IndividualActive
Li Juan Wang, M.D.
NPI 1649217803 · Anatomic Pathology Physician · Providence, RI
Provider details
- NPI number
- 1649217803
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD10437 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St
Department of Pathology Apc-12
Providence, RI 02903-4923
Phone: (401) 444-2517
Fax: (401) 444-8514
Approximate (ZIP-level) locationGet directions
Mailing address
593 Eddy St
Providence, RI 02903-4923
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2014-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.