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Individual
BO FENG
Active
Individual
BO FENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
25MA08519600
NJ
207ZP0101X
Anatomic Pathology Physician
MT182775
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204919
—
NJ
01
—
205633588
BCBS
NJ
Enumeration date
07/24/2007
Last updated
07/31/2024
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