Organization
PENG CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINZHONG PENG MD (PRESIDENT)
(646) 220-0050
Entity
Organization
Contact information
Practice address
855 LEHIGH AVE, UNION, NJ 07083-7631
(646) 220-0050
Mailing address
PO BOX 492, PO BOX 492, MORRIS PLAINS, NJ 07950-0492
(646) 220-0050
(646) 395-1911
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
222042-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02176685
—
NY
Enumeration date
04/19/2010
Last updated
09/20/2012
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