| Lily C Wang, MD, PHD | |
|
100 Brickhill Ave, South Portland, ME 04106-1999 | |
| (207) 773-1728 | |
| Not Available |
| Full Name | Lily C Wang |
|---|---|
| Gender | Female |
| Speciality | Urology - Pediatric Urology |
| Location | 100 Brickhill Ave, South Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487979878 | NPI | - | NPPES |
| Entity Name | Valley Childrens Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 |
| Mailing Address | Practice Location Address |
|---|---|
| Lily C Wang, MD, PHD 100 Brickhill Ave, South Portland, ME 04106-1999 Ph: (207) 773-1728 | Lily C Wang, MD, PHD 100 Brickhill Ave, South Portland, ME 04106-1999 Ph: (207) 773-1728 |
Stephen Thomas Ryan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-773-8153 | |
Clark E Judge, MD Urology Medicare: Medicare Enrolled Practice Location: 100 Brickhill Ave Ste 201, South Portland, ME 04106 Phone: 207-773-1728 | |
Lisa T Beaule, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-772-4062 | |
Dr. Sanchita Bose, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728 | |
Brian M Jumper, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Avenue, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-772-4062 | |
Moritz H Hansen, MD Urology Medicare: Medicare Enrolled Practice Location: 100 Brickhill Avenue, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-772-4062 |