person
Jennifer Jen-wei Wan, MD
Diagnostic Radiology Physician in San Mateo, California
NPI 1356616544

Jennifer Jen-wei Wan is a Diagnostic Radiology Physician based in Novato, CA and is specialized in Diagnostic Radiology. Jennifer Jen-wei Wan practices in San Mateo, CA and has the professional credentials of MD. The NPI Number for Jennifer Jen-wei Wan is 1356616544 and holds a License No. A128087 (California).

The current practice location address for Jennifer Jen-wei Wan is 100 S San Mateo Dr, San Mateo, CA and can be reached out via phone at 650-696-4515 and via fax at 650-696-4626. You can also correspond with Jennifer Jen-wei Wan through the mailing address at PO BOX 6102, NOVATO, CA - 94948-6102 (mailing address contact number: 415-884-3415).

Location: 100 S San Mateo Dr, San Mateo, CA, 94948-6102
person
Provider Profile Details
NPI Number
1356616544
Provider Name
Jennifer Jen-wei Wan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 S San Mateo Dr, San Mateo, CA, 94948-6102
Phone Number
650-696-4515
Fax Number
650-696-4626
Provider Enumeration Date
03/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356616544 05 CA
institution
Provider Business Practice Location Address Details
Address
100 S San Mateo Dr
City
State
Zip
94401-3805
Phone Number
650-696-4515
Fax Number
650-696-4626
person
Provider Business Mailing Address Details
Address
100 S San Mateo Dr
City
State
Zip
94401-3805
Phone Number
650-696-4515
Fax Number
650-696-4626
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
A128087 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
A128087 (California)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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