Provider Demographics
NPI:1902993801
Name:WANG, JUDY KIANG (MD)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:KIANG
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12301 OLD COLUMBIA PIKE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1656
Mailing Address - Country:US
Mailing Address - Phone:301-625-2800
Mailing Address - Fax:301-625-9046
Practice Address - Street 1:2301 BROADBIRCH DR STE 130
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1966
Practice Address - Country:US
Practice Address - Phone:301-625-2800
Practice Address - Fax:301-625-9046
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0064348208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics