Individual
EVA PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 CUMMINGS CTR, SUITE 266T, BEVERLY, MA 01915-6175
(646) 881-0360
Mailing address
800 CUMMINGS CTR, SUITE 266T, BEVERLY, MA 01915-6175
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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