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Individual

DR. JOAN M. CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
88 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-6610
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
251307
MA
2085R0202X
Diagnostic Radiology Physician
251307
MA
2085R0202X
Diagnostic Radiology Physician
Primary
A135741
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
251307
LICENSE
MA
Enumeration date
05/27/2008
Last updated
07/27/2015
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