Individual
DR. JAMES CHUNG PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M,D.
Contact information
Practice address
9250 N MAIN ST, WINDHAM, OH 44288-1058
(330) 326-3666
Mailing address
9250 N MAIN ST, P.O. BOX 489, WINDHAM, OH 44288-1058
(330) 326-3666
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35.044522
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440740
—
OH
Enumeration date
02/04/2006
Last updated
12/13/2010
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