Individual provider · Type 1 NPI

Qiujuan Wang, PA

Medical Physician Assistant · Hartford, CT

NPI number 1174901003 Active

Practice location

80 Seymour St
Hartford, CT 06102-8000

Call (860) 696-4306 Map

Fax (860) 696-5140

Mailing address

1290 Silas Deane Hwy, Hhc Cvo
Wethersfield, CT 06109-4337

Other practice locations

  • 285 E State St Ste 400, Columbus, OH 43215-4368 · (614) 566-7370
  • 400 Celebration Pl Ste A290, Celebration, FL 34747-4970 · (407) 303-3827

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60989637 (WA)
Physician Assistant 363A00000XPA9113633 (FL)
Medical Physician Assistant 363AM0700X004328 (OH)
Medical Physician Assistant Primary 363AM0700X7698 (CT)
Physician Assistant 363A00000X018589 (NY)
Physician Assistant 363A00000X0110006085 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1174901003

Qiujuan Wang, PA's National Provider Identifier is 1174901003, issued on May 12, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on May 28, 2026.