Individual
AILEEN DENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 MEDICAL PARK RD STE 101, MOORESVILLE, NC 28117-8541
(980) 302-7070
(980) 302-7075
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
2019-00612
NC
207RH0003X
Hematology & Oncology Physician
2019-00612
NC
207RX0202X
Medical Oncology Physician
Primary
2019-00612
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2013
Last updated
07/01/2022
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