Individual
TIEN PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 3 RAVDIN BLDG. STE. F, PHILADELPHIA, PA 19104-4238
(215) 662-3202
Mailing address
3400 SPRUCE ST, 3 RAVDIN BLDG. STE. F, PHILADELPHIA, PA 19104-4238
(215) 662-3202
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD440000
PA
Other
Enumeration date
01/10/2008
Last updated
03/28/2014
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