Individual
PETER J FANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 PENNCRAFT AVE, SUITE E, CHAMBERSBURG, PA 17201-5600
(717) 263-1383
(717) 263-7434
Mailing address
25 PENNCRAFT AVE, SUITE E, CHAMBERSBURG, PA 17201-5600
(717) 263-1383
(717) 263-7434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD028426E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010115730002
—
PA
01
—
01692202
CAPITAL BLUE CROSS
PA
05
—
02663490
—
NY
05
—
409028400
—
MD
01
—
FA176407
HIGHMARK
PA
Enumeration date
05/04/2006
Last updated
07/08/2007
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