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Individual
DR. SAM S WENG
Active
Individual
DR. SAM S WENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD035608L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00084735000001
—
PA
01
—
01055104
CAPITAL BLUE CROSS
PA
01
—
112925959
PALMETTO GBA MEDICARE
PA
01
—
140672
HIGHMARK PA BLUE SHIELD
PA
Enumeration date
05/12/2006
Last updated
08/15/2016
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