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Miss Wyki Gina Pang, MD
Student in an Organized Health Care Education/Training Program in Portland, Maine
NPI 1205248549

Wyki Gina Pang is a Student in an Organized Health Care Education/Training Program based in Portland, ME. Wyki Gina Pang practices in Portland, ME and has the professional credentials of MD. The NPI Number for Wyki Gina Pang is 1205248549 and holds a License No. 25MA10390400 (Maine).

The current practice location address for Wyki Gina Pang is 22 Bramhall St, Portland, ME and can be reached out via phone at 207-662-0111.

Location: 22 Bramhall St, Portland, ME, 04102-3134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205248549
Provider Name
Wyki Gina Pang
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
22 Bramhall St, Portland, ME, 04102-3134
Phone Number
207-662-0111
Fax Number
Provider Enumeration Date
05/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22 Bramhall St
City
Portland
State
Maine
Zip
04102-3134
Phone Number
207-662-0111
Fax Number
person
Provider Business Mailing Address Details
Address
22 Bramhall St
City
Portland
State
Maine
Zip
04102-3134
Phone Number
207-662-0111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
25MA10390400 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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